Dougherty, Charles

Dougherty, Charles is an individual health care provider with primary practice located at 1850 Town Center Pkwy , Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dougherty, Charles can be contacted via phone (703) 471-0919.

Contact Information

Primary practice address
1850 Town Center Pkwy Reston VA 20190-3219
Phone: (703) 471-0919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101233598 Virginia

Profile Details

NPI number 1194717926
LBN Legal business name Dougherty, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 11th, 2011 - about 13 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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