Doherty, Joseph Edward

Doherty, Joseph Edward is an individual health care provider with primary practice located at 2500 N State St C/O Department Of Emergency Medicine, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Doherty, Joseph Edward can be contacted via phone (601) 984-5570.

Contact Information

Primary practice address
2500 N State St C/O Department Of Emergency Medicine Jackson MS 39216-4500
Phone: (601) 984-5570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X T-2663 Mississippi
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 24034 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24034 Mississippi

Profile Details

NPI number 1396088209
LBN Legal business name Doherty, Joseph Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2013
Last updated Nov 21st, 2019 - about 6 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 1396088209 NPPES
Mississippi MEDICAID 03837264

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