Daugherty, Timothy Patrick
Daugherty, Timothy Patrick is an sole proprietor health care provider with primary practice located at 1829 East Franklin Street Bldg. # 600, Chapel Hill NC 27514. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Daugherty, Timothy Patrick can be contacted via phone (919) 968-3456.Contact Information
Primary practice address
1829 East Franklin Street Bldg. # 600
Chapel Hill NC 27514
Phone: (919) 968-3456
Fax: (919) 932-3456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4987 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 4987 | North Carolina |
Profile Details
| NPI number | 1063545424 |
|---|---|
| LBN Legal business name | Daugherty, Timothy Patrick |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063545424 | NPPES |
| North Carolina | MEDICAID | 7301786 | |
| North Carolina | Other | 1387G |
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