Dougherty, Timothy

Dougherty, Timothy is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dougherty, Timothy can be contacted via phone (239) 772-6513.

Contact Information

Primary practice address
636 Del Prado Blvd S Cape Coral FL 33990-2668
Phone: (239) 772-6513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME76221 Florida

Profile Details

NPI number 1164487344
LBN Legal business name Dougherty, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 3rd, 2008 - about 17 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 1164487344 NPPES
Florida Other 44660 BLUE CROSS BLUE SHIELD
Florida Other 7939666 BLUE CROSS BLUE SHIELD
Florida Other 221582 BLUE CROSS BLUE SHIELD
Florida MEDICAID 254620500 BLUE CROSS BLUE SHIELD

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