ISABELLE R DOHERTY
NPI 1528813698
Military Health Care Provider - Independent Duty Corpsman in Selfridge Angb, MI

Active since April 22, 2024
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE ANGB, MI 48045(231) 645-1261 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Isabelle R Doherty NPPES

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

ISABELLE R DOHERTY (NPI 1528813698) is an individual independent duty corpsman provider in Selfridge Angb, Michigan and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1528813698
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameISABELLE R DOHERTY
Location Address43401 N JEFFERSON AVE BLDG 825Selfridge Angb, MI 48045-5266
Mailing Address43401 N Jefferson Ave Bldg 825Selfridge Angb, MI 48045-5266 · (231) 645-1261
Sole ProprietorNo
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1528813698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

43401 N JEFFERSON AVE BLDG 825, Selfridge Angb, MI 48045

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE ANGB, MI 48045
Dental Hygienist
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE ANG BASE
SELFRIDGE ANGB, MI 48045
Dental Hygienist
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE ANGB, MI 48045
Military/U.S. Coast Guard Pharmacy
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE, MI 48045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528813698, enumerated as an "individual" on April 22, 2024.

The provider is located at 43401 N JEFFERSON AVE BLDG 825 SELFRIDGE ANGB, MI 48045 and the phone number is (231) 645-1261.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.