Doerhoff, Carl Raymond

Doerhoff, Carl Raymond is an individual health care provider with primary practice located at 1705 Christy Dr Suite 215, Jefferson City MO 65101-5195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Doerhoff, Carl Raymond can be contacted via phone (573) 659-5500.

Contact Information

Primary practice address
1705 Christy Dr Suite 215 Jefferson City MO 65101-5195
Phone: (573) 659-5500
Fax: (573) 659-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MDR9541 Missouri

Profile Details

NPI number 1003800244
LBN Legal business name Doerhoff, Carl Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jun 13th, 2024 - about last year

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 1003800244 NPPES
Missouri MEDICAID 201704814

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