Daugherty, Warren Frederick

Daugherty, Warren Frederick is an individual health care provider with primary practice located at 207 Hathaway Park , Lebanon PA 17042-6163. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Daugherty, Warren Frederick can be contacted via phone (717) 273-0411.

Contact Information

Primary practice address
207 Hathaway Park Lebanon PA 17042-6163
Phone: (717) 273-0411
Fax: (717) 272-7099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5015609L Pennsylvania

Profile Details

NPI number 1245332394
LBN Legal business name Daugherty, Warren Frederick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245332394 NPPES
Other 1156932 MET LIFE
Other 59606 MET LIFE

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