Dougherty, James

Dougherty, James is an individual health care provider with primary practice located at 28 Park Ave , Williston VT 05495-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dougherty, James can be contacted via phone (802) 878-1008.

Contact Information

Primary practice address
28 Park Ave Williston VT 05495-9701
Phone: (802) 878-1008
Fax: (802) 872-2679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420009520 Vermont

Profile Details

NPI number 1629188750
LBN Legal business name Dougherty, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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 1629188750 NPPES
Vermont MEDICAID 0VN1841

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