Mr James Harold Dougal, RN is a
Emergency Medical Technician, Basic based in Fort Wayne, Indiana. Mr James Harold Dougal is licensed to practice in Indiana (license number 0242619) and his current practice location is
3840 New Vision Dr, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 483-2422.
NPI number for Mr James Harold Dougal is 1437263860 and his current mailing address is 9701 Brush College Rd, Woodburn, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437263860.
Provider's Profile
| Full Name | Mr James Harold Dougal |
|---|
| Gender | Male |
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| Speciality | Emergency Medical Technician, Basic |
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| Location | 3840 New Vision Dr, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437263860
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr James Harold Dougal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437263860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28068712A (Indiana) | Primary |
| 146N00000X | Emergency Medical Technician, Basic | 0242619 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Harold Dougal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James Harold Dougal, RN
9701 Brush College Rd,
Woodburn, IN 46797-9770
Ph: (260) 657-5663 | Mr James Harold Dougal, RN
3840 New Vision Dr,
Fort Wayne, IN 46845-1708
Ph: (260) 483-2422 |
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