Doty, Douglas John
Doty, Douglas John is an individual health care provider with primary practice located at 3700 Washington Ave St Marys Medical Center Anesthesia Dept, Evansville IN 47750. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Doty, Douglas John can be contacted via phone (812) 495-4000.Contact Information
Primary practice address
3700 Washington Ave St Marys Medical Center Anesthesia Dept
Evansville IN 47750
Phone: (812) 495-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02002893A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 02002893A | Indiana |
Profile Details
| NPI number | 1437195500 |
|---|---|
| LBN Legal business name | Doty, Douglas John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | May 26th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437195500 | NPPES |
| Indiana | Other | 00000035484 | BLUE SHIELD |
| Indiana | Other | P00221219 | BLUE SHIELD |
| Indiana | MEDICAID | 64111024 | BLUE SHIELD |
| Indiana | MEDICAID | 200056180 | BLUE SHIELD |
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