Doherty, Neil E

Doherty, Neil E is an individual health care provider with primary practice located at 552 W Foothill Blvd Ste 201 , Glendora CA 91741-2470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Doherty, Neil E can be contacted via phone (626) 915-4700.

Contact Information

Primary practice address
552 W Foothill Blvd Ste 201 Glendora CA 91741-2470
Phone: (626) 915-4700
Fax: (626) 214-7815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G51688 California

Profile Details

NPI number 1871562017
LBN Legal business name Doherty, Neil E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 15th, 2023 - about 2 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 1871562017 NPPES
California MEDICAID 00G516880
California Other WG51688A
California Other G51688

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