Doherty, Bryan

Doherty, Bryan is an sole proprietor health care provider with primary practice located at 3261 Nw Mount Vintage Way Ste 221 , Silverdale WA 98383-6039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Doherty, Bryan can be contacted via phone (360) 479-1952.

Contact Information

Primary practice address
3261 Nw Mount Vintage Way Ste 221 Silverdale WA 98383-6039
Phone: (360) 479-1952
Fax: (360) 479-0318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD61107726 Washington

Profile Details

NPI number 1497123384
LBN Legal business name Doherty, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2015
Last updated Aug 4th, 2021 - about 3 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 1497123384 NPPES
Washington MEDICAID 2179758

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