Slabaugh, Doreen Ann

Slabaugh, Doreen Ann is an individual health care provider with primary practice located at 3120 Clearwater Dr , Prescott AZ 86305-7131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Slabaugh, Doreen Ann can be contacted via phone (928) 771-3704.

Contact Information

Primary practice address
3120 Clearwater Dr Prescott AZ 86305-7131
Fax: (928) 771-0434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4226 Arizona

Profile Details

NPI number 1619964061
LBN Legal business name Slabaugh, Doreen Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 9th, 2020 - about 4 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 1619964061 NPPES
Arizona MEDICAID 957962

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