Van Der Heide, Douglas J
Van Der Heide, Douglas J is an sole proprietor health care provider with primary practice located at 7 E 85Th St , Nyc NY 10028-0440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Van Der Heide, Douglas J can be contacted via phone (212) 772-6443.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 131230 | New York |
Profile Details
| NPI number | 1831168624 |
|---|---|
| LBN Legal business name | Van Der Heide, Douglas J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Aug 19th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831168624 | NPPES |
| New York | MEDICAID | 00509673 |
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