Doherty, Carolyn M

Doherty, Carolyn M is an individual health care provider with primary practice located at 400 N Pepper Ave Mob Suite 308, Colton CA 92324-1801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Doherty, Carolyn M can be contacted via phone (909) 580-3353.

Contact Information

Primary practice address
400 N Pepper Ave Mob Suite 308 Colton CA 92324-1801
Phone: (909) 580-3353
Fax: (909) 580-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G61638 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G61638 California

Profile Details

NPI number 1003862350
LBN Legal business name Doherty, Carolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 10th, 2020 - about 4 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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