Doggett, Stephen W

Doggett, Stephen W is an individual health care provider with primary practice located at 14642 Newport Ave #470, Tustin CA 92780-6057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Doggett, Stephen W can be contacted via phone (714) 573-9500.

Contact Information

Primary practice address
14642 Newport Ave #470 Tustin CA 92780-6057
Phone: (714) 573-9500
Fax: (714) 573-9505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G49856 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 18643 Mississippi
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X AZ47460 Arizona
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD 00031750 Washington
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 47460 Arizona

Profile Details

NPI number 1982675021
LBN Legal business name Doggett, Stephen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982675021 NPPES
California MEDICAID 00G498560
California Other 00G498560
California Other 920001601
California MEDICAID 00G498561

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