King, James Dougherty

King, James Dougherty is an individual health care provider with primary practice located at 4480 Utica Ridge Rd Ste 2230, Bettendorf IA 52722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. King, James Dougherty can be contacted via phone (563) 742-5150.

Contact Information

Primary practice address
4480 Utica Ridge Rd Ste 2230 Bettendorf IA 52722
Phone: (563) 742-5150
Fax: (563) 742-5175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01628 Iowa

Profile Details

NPI number 1720058019
LBN Legal business name King, James Dougherty
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 5th, 2015 - about 11 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 1720058019 NPPES
Iowa MEDICAID 1720058019
Iowa MEDICAID 4159285
Iowa Other P00306826

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