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
Phone: (208) 818-8475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962654814 | NPPES |
| Massachusetts | MEDICAID | 110097332A |
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