Doherty, Dennis C

Doherty, Dennis C is an sole proprietor health care provider with primary practice located at 2 S Main St Ste 206 , Watkinsville GA 30677-7101. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Other Service Providers / Specialist is his primary health care specialty. Doherty, Dennis C can be contacted via phone (706) 991-9865.

Contact Information

Primary practice address
2 S Main St Ste 206 Watkinsville GA 30677-7101
Phone: (706) 991-9865
Fax: (424) 220-7408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 031731 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 31731 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 31731 Georgia

Profile Details

NPI number 1750391777
LBN Legal business name Doherty, Dennis C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated May 25th, 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 1750391777 NPPES
Georgia Other 20270G8239 PTAN
Georgia Other 270301394 PTAN

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