Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1430 | MA |
N | 111NN1001X | Nutrition | 1430 | MA |
N | 111NN1001X | Nutrition | 1598 | MA |
NPI | 1356419535 |
---|---|
Provider Name | Dr. Ann M Doggett |
First Address | Quincy, MA 02170-1952 |
Second Address | Quincy, MA 02170-1952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 18/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1610791 | (05) | MA |
T87730 | (02) | MA |