JEFFREY ALAN DOELLING MD
NPI 1013659655
Student in an Organized Health Care Education/Training Program in Modesto, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 13, 2022

1441 FLORIDA AVE, MODESTO, CA 95350(209) 578-1211 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeffrey Alan Doelling Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY ALAN DOELLING MD (NPI 1013659655) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2022. He maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1013659655

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEFFREY ALAN DOELLINGCredential: MD

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446 · (209) 573-6147

Phone(209) 578-1211

Sole ProprietorNo

Enumeration DateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1013659655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1441 FLORIDA AVE, Modesto, CA 95350

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