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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: August 09, 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
Phone(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
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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.

DANA MARIE KUBINSKI RDH
Dental Hygienist
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE ANGB, MI 48045
Macomb County (586) 239-3005
MRS. DIANA LEE KOTT RDH
Dental Hygienist
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE ANGB, MI 48045
Macomb County (586) 239-3005
USCG DETROIT PHARMACY
Military/U.S. Coast Guard Pharmacy
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE, MI 48045
Macomb County (586) 239-3005
MRS. CRYSTAL JUJUAN DAVIS R.D.H.
Dental Hygienist
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE ANG BASE
SELFRIDGE ANGB, MI 48045
Macomb County (586) 239-3005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isabelle Doherty's NPI number?

The NPI number for Isabelle Doherty is 1528813698. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Isabelle Doherty located?

Isabelle Doherty practices at 43401 N Jefferson Ave Bldg 825, Selfridge Angb, MI 48045. The listed phone number is (231) 645-1261.

What is Isabelle Doherty's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Isabelle Doherty was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.