Dougherty, Tanner Stevenson

Dougherty, Tanner Stevenson is an individual health care provider with primary practice located at 474 W 200 N # 300 , St George UT 84770-4505. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Dougherty, Tanner Stevenson can be contacted via phone (435) 634-5600.

Contact Information

Primary practice address
474 W 200 N # 300 St George UT 84770-4505
Phone: (435) 634-5600
Fax: (435) 986-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1326635129
LBN Legal business name Dougherty, Tanner Stevenson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 2020 - about 5 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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