Daugherty, Shane Alan
Daugherty, Shane Alan is an sole proprietor health care provider with primary practice located at 765 Liberty St Ste 207A , Meadville PA 16335-2568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Daugherty, Shane Alan can be contacted via phone (814) 373-2156.Contact Information
Primary practice address
765 Liberty St Ste 207A
Meadville PA 16335-2568
Phone: (814) 373-2156
Fax: (814) 373-2159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | OS026090 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1154902096 |
|---|---|
| LBN Legal business name | Daugherty, Shane Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Jun 30th, 2026 - about 4 months 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.
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