Wornell, Douglas P

Wornell, Douglas P is an sole proprietor health care provider with primary practice located at 3309 56Th St Ste 106, Gig Harbor WA 98335-8580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wornell, Douglas P can be contacted via phone (253) 804-8259.

Contact Information

Primary practice address
3309 56Th St Ste 106 Gig Harbor WA 98335-8580
Phone: (253) 804-8259
Fax: (253) 804-8258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00034867 Washington

Profile Details

NPI number 1447343850
LBN Legal business name Wornell, Douglas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Aug 29th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447343850 NPPES
Washington Other WO9746 REGENCE RIDER NUMBER
Washington MEDICAID 1101419 REGENCE RIDER NUMBER

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