Doty, Haedan
Doty, Haedan is an individual health care provider with primary practice located at Po Box 67 , Flagstaff AZ 86002-0067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Doty, Haedan can be contacted via phone (678) 538-8112.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 011015 | Arizona |
Profile Details
| NPI number | 1467027268 |
|---|---|
| LBN Legal business name | Doty, Haedan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2021 |
| Last updated | Jun 25th, 2024 - 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 | 1467027268 | NPPES |
| Arizona | Other | 011015 | STATE PHYSICIAN LICENSE |
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