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:
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Health care specialties

SpecialtyCodeLicense #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 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 1659359412 NPPES
Texas Other VAD 000 MILITARY

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