Dougherty, Colleen Marie
Dougherty, Colleen Marie is an individual health care provider with primary practice located at 5 S Washington Ave , Jermyn PA 18433-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dougherty, Colleen Marie can be contacted via phone (570) 230-0019.Contact Information
Primary practice address
5 S Washington Ave
Jermyn PA 18433-1121
Phone: (570) 230-0019
Fax: (270) 230-0013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP017680 | Pennsylvania |
Profile Details
| NPI number | 1609392117 |
|---|---|
| LBN Legal business name | Dougherty, Colleen Marie |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2017 |
| Last updated | Dec 10th, 2020 - about 5 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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