Daugherty, Colleen
Daugherty, Colleen is an individual health care provider with primary practice located at 149 Hart St 82 Medical Group/Credentials, Sheppard Afb TX 76311-3477. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Daugherty, Colleen can be contacted via phone (940) 676-6960.Contact Information
Primary practice address
149 Hart St 82 Medical Group/Credentials
Sheppard Afb TX 76311-3477
Phone: (940) 676-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | OT3334 | Florida |
Profile Details
| NPI number | 1659359412 |
|---|---|
| LBN Legal business name | Daugherty, Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659359412 | NPPES |
| Texas | Other | VAD 000 | MILITARY |
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