Dougherty, Richard Allen

Dougherty, Richard Allen is an individual health care provider with primary practice located at 10450 Park Rd Ste 200, Charlotte NC 28210-8505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dougherty, Richard Allen can be contacted via phone (704) 541-9002.

Contact Information

Primary practice address
10450 Park Rd Ste 200 Charlotte NC 28210-8505
Phone: (704) 541-9002
Fax: (704) 542-6701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9300686 North Carolina

Profile Details

NPI number 1629068515
LBN Legal business name Dougherty, Richard Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 17th, 2022 - about 4 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 1629068515 NPPES
North Carolina MEDICAID 8929076

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