According to our database, the NPI number for Jack Douglas is 1508054404 and activated since 16 years ago. Jack Douglas is an individual provider who specializes in Physical Therapist, and the primary practice location is 1065 E Broad St, Monticello, MS 39654. You can also contact Jack Douglas via telephone number is (601) 587-7115. Provider NPI information was last updated on 04/07/2010.

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Overview of Jack Douglas

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/05/2007
  • Last updated: 04/07/2010

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: PT3353
  • License State: MS

Provider Mailing Address

  • Address: 4109 Highway 98 W
    Summit, MS 39666
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1065 E Broad St
    Monticello, MS 39654
  • Phone: 601-587-7115
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: PT3353
  • License State: MS
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Douglas?
  • A: The npi number for Jack Douglas is 1508054404.
  • Q: What are Jack Douglas's specialties?
  • A: Jack Douglas's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Jack Douglas?
  • A: The medical license number for Jack Douglas is PT3353 and issued in MS in USA.
  • Q: Where is Jack Douglas practice location?
  • A: Jack Douglas is practicing at 1065 E Broad St, Monticello, MS 39654.
  • Q: How to contact Jack Douglas?
  • A: You can contact Jack Douglas via 601-587-7115.