Northcutt, Alan Douglas

Northcutt, Alan Douglas is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd Pathology Dept, Waco TX 76712-8897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Northcutt, Alan Douglas can be contacted via phone (254) 202-4816.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Pathology Dept Waco TX 76712-8897
Phone: (254) 202-4816
Fax: (254) 202-4899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X G3654 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G3654 Texas

Profile Details

NPI number 1689685125
LBN Legal business name Northcutt, Alan Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 12th, 2014 - about 11 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 1689685125 NPPES
Texas MEDICAID 129416705

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