Doherty, Mary Ellen

Doherty, Mary Ellen is an individual health care provider with primary practice located at 401 Cypress St , Manchester NH 03103-3628. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Doherty, Mary Ellen can be contacted via phone (603) 668-4111.

Contact Information

Primary practice address
401 Cypress St Manchester NH 03103-3628
Phone: (603) 668-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 030792-21 New Hampshire

Profile Details

NPI number 1013070077
LBN Legal business name Doherty, Mary Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013070077 NPPES
New Hampshire Other 7706660Y0NH01 BLUE CROSS

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