Doherty, Janna Lyn

Doherty, Janna Lyn is an individual health care provider with primary practice located at 1779 Dominican Way Suite B, Santa Cruz CA 95065-1526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Doherty, Janna Lyn can be contacted via phone (831) 479-4966.

Contact Information

Primary practice address
1779 Dominican Way Suite B Santa Cruz CA 95065-1526
Phone: (831) 479-4966
Fax: (831) 479-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A64380 California

Profile Details

NPI number 1790898823
LBN Legal business name Doherty, Janna Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Dec 13th, 2021 - about 4 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 1790898823 NPPES
California MEDICAID GR0098130

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