Daugherty And Daugherty Medical Clinic Pa
LBN: Daugherty And Daugherty Medical Clinic Pa
Daugherty And Daugherty Medical Clinic Pa is an health care organization with primary practice located at 1409 Braden St , Jacksonville AR 72076-3720. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Daugherty And Daugherty Medical Clinic Pa can be contacted via phone (501) 982-0576, or through Daugherty, Joe D via phone (501) 982-0576.
Contact Information
Primary practice address
1409 Braden St
Jacksonville AR 72076-3720
Phone: (501) 982-0576
Fax: (501) 982-0041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1942268123 |
|---|---|
| LBN Legal business name | Daugherty And Daugherty Medical Clinic Pa |
| DBA Doing business as | |
| Authorized official | Daugherty, Joe D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 7th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942268123 | NPPES |
| Arkansas | Other | 04D0466369 | CLIA |
| Arkansas | MEDICAID | 104806002 | CLIA |
| Arkansas | Other | CS4952 | CLIA |
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