Dougherty, Amanda Marie
Dougherty, Amanda Marie is an sole proprietor health care provider with primary practice located at 9358 Ensign Ave S , Bloomington MN 55438-1472. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Dougherty, Amanda Marie can be contacted via phone (952) 666-2289.Contact Information
Primary practice address
9358 Ensign Ave S
Bloomington MN 55438-1472
Phone: (952) 666-2289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1033958848 |
|---|---|
| LBN Legal business name | Dougherty, Amanda Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2024 |
| Last updated | May 21st, 2024 - about last year |
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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