Dougherty, Thomas M

Dougherty, Thomas M is an individual health care provider with primary practice located at 1019 Skinker Pkwy 156, Saint Louis MO 63112-2355. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dougherty, Thomas M can be contacted via phone (678) 793-7963.

Contact Information

Primary practice address
1019 Skinker Pkwy 156 Saint Louis MO 63112-2355
Phone: (678) 793-7963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 29906 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29906 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29906 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009024720 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2009024720 Missouri

Profile Details

NPI number 1952403651
LBN Legal business name Dougherty, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Sep 4th, 2014 - about 12 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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