Doherty, Emily S

Doherty, Emily S is an individual health care provider with primary practice located at 4348 Electric Rd , Roanoke VA 24018-0720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Doherty, Emily S can be contacted via phone (540) 769-0976.

Contact Information

Primary practice address
4348 Electric Rd Roanoke VA 24018-0720
Phone: (540) 769-0976
Fax: (540) 857-5390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 0101239245 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101239245 Virginia

Profile Details

NPI number 1134149495
LBN Legal business name Doherty, Emily S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 2nd, 2021 - about 5 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 1134149495 NPPES
Virginia MEDICAID 010298423

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