Tidwell, Douglas
Tidwell, Douglas is an sole proprietor health care provider with primary practice located at 580 Lincoln Park Blvd Suite 322, Kettering OH 45429-3474. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Tidwell, Douglas can be contacted via phone (937) 297-6800.Contact Information
Primary practice address
580 Lincoln Park Blvd Suite 322
Kettering OH 45429-3474
Phone: (937) 297-6800
Fax: (937) 297-6810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Perfusionist | 242T00000X |
Profile Details
| NPI number | 1265672505 |
|---|---|
| LBN Legal business name | Tidwell, Douglas |
| Credentials | Certified Clinical Perfusionist (CCP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Feb 26th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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