Dougherty, David John
Dougherty, David John is an individual health care provider with primary practice located at 8262 Atlee Rd Mob Iii, Suite 205, Mechanicsville VA 23116-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dougherty, David John can be contacted via phone (804) 559-0194.Contact Information
Primary practice address
8262 Atlee Rd Mob Iii, Suite 205
Mechanicsville VA 23116-1816
Phone: (804) 559-0194
Fax: (804) 559-0198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101244139 | Virginia |
Profile Details
| NPI number | 1760494892 |
|---|---|
| LBN Legal business name | Dougherty, David John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Aug 2nd, 2009 - about 17 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 | 1760494892 | NPPES |
| Virginia | MEDICAID | 1760494892 |
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