Doherty, Michael L
Doherty, Michael L is an individual health care provider with primary practice located at 2900 16Th St , Bedford IN 47421-3510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Doherty, Michael L can be contacted via phone (812) 676-4102.Contact Information
Primary practice address
2900 16Th St
Bedford IN 47421-3510
Phone: (812) 676-4102
Fax: (812) 676-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 312385 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02006851A | Indiana |
Profile Details
| NPI number | 1104323658 |
|---|---|
| LBN Legal business name | Doherty, Michael L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2018 |
| Last updated | Jul 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104323658 | NPPES |
| New York | Other | 312385 | NEW YORK STATE MEDICAL LICENSE NUMBER |
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