Daugherty, Manuel Preston
Daugherty, Manuel Preston is an individual health care provider with primary practice located at 1601 Center St Ste 3N, Mobile AL 36604-1512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Daugherty, Manuel Preston can be contacted via phone (251) 665-8200.Contact Information
Primary practice address
1601 Center St Ste 3N
Mobile AL 36604-1512
Phone: (251) 665-8200
Fax: (251) 665-8210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 3645 | Alabama |
Profile Details
| NPI number | 1629078084 |
|---|---|
| LBN Legal business name | Daugherty, Manuel Preston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1629078084 | NPPES |
| Other | 200046072 | RAILROAD MEDICARE | |
| MEDICAID | 000053083 | RAILROAD MEDICARE |
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