Hossalla, Doris Eileen

Hossalla, Doris Eileen is an sole proprietor health care provider with primary practice located at 1524 Leander Rd , Georgetown TX 78628-8801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hossalla, Doris Eileen can be contacted via phone (512) 863-7586.

Contact Information

Primary practice address
1524 Leander Rd Georgetown TX 78628-8801
Phone: (512) 863-7586
Fax: (512) 863-5222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F9586 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0012090 Vermont

Profile Details

NPI number 1275626566
LBN Legal business name Hossalla, Doris Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Jun 6th, 2013 - about 12 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 1275626566 NPPES
Vermont MEDICAID 1018167
Vermont MEDICAID 112091701

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