Dougherty, Retha Mary
Dougherty, Retha Mary is an individual health care provider with primary practice located at 106 S Maple St , Plainview NE 68769-4124. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dougherty, Retha Mary can be contacted via phone (402) 582-4901.Contact Information
Primary practice address
106 S Maple St
Plainview NE 68769-4124
Phone: (402) 582-4901
Fax: (402) 582-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1483 | Nebraska |
Profile Details
| NPI number | 1447439971 |
|---|---|
| LBN Legal business name | Dougherty, Retha Mary |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Mar 30th, 2020 - about 6 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 | 1447439971 | NPPES |
| Nebraska | MEDICAID | 10025575800 |
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