Timothy Deegan Douglass in Destin - Chiropractor
Timothy Deegan Douglass - NPI 1306913884
Timothy Deegan Douglass is a Chiropractor in Destin, Florida. Timothy Deegan Douglass practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Deegan Douglass is 1306913884. The last update date is 2009-12-10.
Timothy Deegan Douglass's current location address is 4421 Commons Dr E, Destin, Florida. You can contact this provider via phone number 8506506789 and fax number 8506506790. The mailing address for Timothy Deegan Douglass is 4421 Commons Dr E, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Deegan Douglass |
|---|---|
| Address | 4421 Commons Dr E, Destin, Florida |
| Phone Number | 8506506789 |
| Fax Number | 8506506790 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1306913884 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2009-12-10 |
Provider Mailing Address Detail
| Address | 4421 Commons Dr E |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325413484 |
| Phone Number | 8506506789 |
| Fax Number | 8506506790 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH9683 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8516111 | NH | CIGNA | |
| 0509581Y0NH01 | NH | ANTHEM BLUE CROSSBLUE SHI |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Deegan Douglass by the Centers for Medicare & Medicaid Services?
The Timothy Deegan Douglass has been assigned the NPI (National Provider Identifier) 1306913884. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy Deegan Douglass is physically located?
The Timothy Deegan Douglass is situated at the following address: 4421 Commons Dr E, Destin, FL 325413484.
What is Timothy Deegan Douglass's area of expertise and its corresponding taxonomy classification?
The Timothy Deegan Douglass's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Timothy Deegan Douglass receive its 1306913884 assignment?
The Timothy Deegan Douglass was assigned its 1306913884 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Timothy Deegan Douglass most recently updated or refreshed?
The details pertaining to the Timothy Deegan Douglass, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-10.