Short, Doris

Short, Doris is an individual health care provider with primary practice located at 1620 Cummins Dr , Modesto CA 95358-6400. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Short, Doris can be contacted via phone (209) 576-1750.

Contact Information

Primary practice address
1620 Cummins Dr Modesto CA 95358-6400
Phone: (209) 576-1750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-LMKCTP California

Profile Details

NPI number 1700410420
LBN Legal business name Short, Doris
Credentials RADT 1
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2020
Last updated Dec 11th, 2023 - about 3 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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