NPI 1104505189
Michael Doogan
Practice location
- Address
- 405 S Main St, Belle Rive, IL 62810-1228
- Phone
- (618) 316-1626
- Mailing address
- 6257 Anderson School Rd, Mc Leansboro, IL 62859-4626
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1104505189
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jul 2023
- Record last updated
- 17 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.