Doherty, Jesseca
Doherty, Jesseca is an individual health care provider with primary practice located at 11 W Monument Ave Fl 7 , Dayton OH 45402-1274. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Doherty, Jesseca can be contacted via phone (937) 461-4300.Contact Information
Primary practice address
11 W Monument Ave Fl 7
Dayton OH 45402-1274
Phone: (937) 461-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1811475015 |
|---|---|
| LBN Legal business name | Doherty, Jesseca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2018 |
| Last updated | Jul 31st, 2018 - about 7 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 | 1811475015 | NPPES |
| Ohio | Other | 1326012360 | AGENCY NPI |
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