Daugherty, Andrew

Daugherty, Andrew is an individual health care provider with primary practice located at 37605 Pembroke Ave , Livonia MI 48152-1050. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Daugherty, Andrew can be contacted via phone (734) 591-7931.

Contact Information

Primary practice address
37605 Pembroke Ave Livonia MI 48152-1050
Phone: (734) 591-7931
Fax: (734) 464-0335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101258945 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301506177 Michigan

Profile Details

NPI number 1538583703
LBN Legal business name Daugherty, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2014
Last updated Oct 24th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538583703 NPPES
Michigan MEDICAID 1538583703

Popular Providers