Doherty, Mark J.
Doherty, Mark J. is an sole proprietor health care provider with primary practice located at 1151 Ellis St Ste 202 , Bellingham WA 98225-5203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Doherty, Mark J. can be contacted via phone (360) 746-2380.Contact Information
Primary practice address
1151 Ellis St Ste 202
Bellingham WA 98225-5203
Phone: (360) 746-2380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD00020973 | Washington |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00020973 | Washington |
Profile Details
| NPI number | 1801892260 |
|---|---|
| LBN Legal business name | Doherty, Mark J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jan 26th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801892260 | NPPES |
| Washington | Other | 0230370 | L&I/CRIME VICTIMS |
| Washington | MEDICAID | 8180382 | L&I/CRIME VICTIMS |
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