Provider Demographics
NPI:1891151031
Name:JOSEPH DOUMIT, MD, PLLC
Entity Type:Organization
Organization Name:JOSEPH DOUMIT, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOUMIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-226-2228
Mailing Address - Street 1:625 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6335
Mailing Address - Country:US
Mailing Address - Phone:425-354-3723
Mailing Address - Fax:
Practice Address - Street 1:625 32ND AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6335
Practice Address - Country:US
Practice Address - Phone:425-354-3723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD602328892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty