Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 823 | NM |
NPI | 1538162771 |
---|---|
Provider Name | Dr. William Howard Doggett |
First Address | Albuquerque, NM 87105-7600 |
Second Address | Albuquerque, NM 87107-4546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000K7052 | (05) | NM |
NM02K742 | BCBS GRP. # (01) | NM |
T4090 | (02) | NM |