National Provider Identifier Database

MICHAEL D DOUCETTE MD PROF CORP
Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).


Contact Information

MICHAEL D DOUCETTE MD PROF CORP
415 N STATE COLLEGE BLVD
ADP MEDICAL GROUP
ANAHEIM, CA92806
Phone: 714-758-1175
Fax: 714-758-9201
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for MICHAEL D DOUCETTE MD PROF CORP

NPI Number 1326163148
Legal business name
LBN
MICHAEL D DOUCETTE MD PROF CORP
Authorized official MICHAEL DOUCETTE - (PRES)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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