IDA M DOETSCH


Address: 12 Irene Ct, Bellingham, MA 02019-1710
Phone: 5088084894

IDA M DOETSCH (NPI# 1487089280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487089280
Entity Type Individual
Full Name IDA M DOETSCH
Credential BS
Practice Address 12 Irene Ct
Bellingham
MA 02019-1710
Practice Telephone 5088084894
Practice Fax Number 5086287302
Mailing Telephone 5088084894
Mailing Fax Number 5086287302
Enumeration Date 2013-09-11
Last Update Date 2013-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 12 IRENE CT
City BELLINGHAM
State MA
Zip Code 02019-1710

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1821234782 Michelle Lee Castiglione Physical Therapy Assistant 40 N. Main St., Bellingham, MA 02019 2008-12-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1306497649 Jolene Winsett Counselor 3130 Howe Pl, Bellingham, WA 98226-5641 2019-09-27
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Competitor

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City BELLINGHAM
Zip Code 02019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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