person
Dr. Chloe Carolyn Douglass, OD
Student in an Organized Health Care Education/Training Program in Bangor, Maine
NPI 1669055588

Chloe Carolyn Douglass is a Student in an Organized Health Care Education/Training Program based in Bangor, ME. Chloe Carolyn Douglass practices in Bangor, ME and has the professional credentials of OD. The NPI Number for Chloe Carolyn Douglass is 1669055588 and holds a License No. (Maine).

The current practice location address for Chloe Carolyn Douglass is 955 Broadway, Bangor, ME and can be reached out via phone at 207-990-4388.

Location: 955 Broadway, Bangor, ME, 04401-2918
person
Provider Profile Details
NPI Number
1669055588
Provider Name
Chloe Carolyn Douglass
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
955 Broadway, Bangor, ME, 04401-2918
Phone Number
207-990-4388
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417949678 05 ME
institution
Provider Business Practice Location Address Details
Address
955 Broadway
City
State
Zip
04401-2918
Phone Number
207-990-4388
Fax Number
person
Provider Business Mailing Address Details
Address
955 Broadway
City
State
Zip
04401-2918
Phone Number
207-990-4388
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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