Doorenbos, David I.

Doorenbos, David I. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Doorenbos, David I. can be contacted via phone (601) 703-3074.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-3074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 11711 Mississippi

Profile Details

NPI number 1710979323
LBN Legal business name Doorenbos, David I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710979323 NPPES
Mississippi MEDICAID 00115728
Mississippi Other 73069371

Popular Providers