Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS ROOSEVELT, ND, LMT, EMT-P
Active Sole ProprietorMR. DOUGLAS ROOSEVELT, ND, LMT, EMT-P is a Naturopath healthcare provider located in BLOOMINGTON, Illinois. NPI 1164211991 is currently active in the NPPES registry. Verify at CMS.
Naturopath · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1164211991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2025 (1.289663950075 yrs)
- Last Updated
- May 6, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 S PROSPECT RD STE 1ABLOOMINGTON, IL, 617044909Browse IL providers · Browse ZIP 61704
- Phone
- 3095314584
- Primary Specialty
-
Naturopath
175F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.