Dougherty, Brian Christopher

Dougherty, Brian Christopher is an individual health care provider with primary practice located at 3975 Embassy Parkway Suite 102, Akron OH 44333-1763. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dougherty, Brian Christopher can be contacted via phone (330) 668-4080.

Contact Information

Primary practice address
3975 Embassy Parkway Suite 102 Akron OH 44333-1763
Phone: (330) 668-4080
Fax: (330) 665-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT11039 Ohio

Profile Details

NPI number 1164477782
LBN Legal business name Dougherty, Brian Christopher
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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 1164477782 NPPES
Ohio MEDICAID 2565595

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