Daugherty, John
Daugherty, John is an individual health care provider with primary practice located at 1409 Braden St , Jacksonville AR 72076-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Daugherty, John can be contacted via phone (501) 982-0576.Contact Information
Primary practice address
1409 Braden St
Jacksonville AR 72076-3720
Phone: (501) 982-0576
Fax: (501) 982-0041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C-5390 | Arkansas |
Profile Details
| NPI number | 1124076922 |
|---|---|
| LBN Legal business name | Daugherty, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124076922 | NPPES |
| Arkansas | Other | 16194-1 | FAA |
| Arkansas | Other | 5335127 | FAA |
| Arkansas | Other | 1569 | FAA |
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