Doherty, Carolyn Maud

Doherty, Carolyn Maud is an individual health care provider with primary practice located at 717 N 190Th Plz Suite # 2500, Elkhorn NE 68022-3913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Doherty, Carolyn Maud can be contacted via phone (402) 815-1915.

Contact Information

Primary practice address
717 N 190Th Plz Suite # 2500 Elkhorn NE 68022-3913
Phone: (402) 815-1915
Fax: (402) 815-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 18934 Nebraska

Profile Details

NPI number 1427163609
LBN Legal business name Doherty, Carolyn Maud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 17th, 2013 - about 11 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 1427163609 NPPES
Iowa MEDICAID 90871
Iowa MEDICAID 1427163609
Iowa MEDICAID 10024995600

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