Doucet, Danielle R

Doucet, Danielle R is an individual health care provider with primary practice located at 775 Pole Line Rd W Ste 213 , Twin Falls ID 83301-5820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Doucet, Danielle R can be contacted via phone (208) 818-8475.

Contact Information

Primary practice address
775 Pole Line Rd W Ste 213 Twin Falls ID 83301-5820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 257280 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 00063730 Colorado
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MC-1427 Idaho

Profile Details

NPI number 1962654814
LBN Legal business name Doucet, Danielle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Aug 1st, 2022 - about 2 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 1962654814 NPPES
Massachusetts MEDICAID 110097332A

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