Dougherty, Jacob

Dougherty, Jacob is an sole proprietor health care provider with primary practice located at 2400 Miami Valley Dr , Centerville OH 45459-4774. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Dougherty, Jacob can be contacted via phone (937) 438-2400.

Contact Information

Primary practice address
2400 Miami Valley Dr Centerville OH 45459-4774
Phone: (937) 438-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.0032076 Ohio

Profile Details

NPI number 1821712316
LBN Legal business name Dougherty, Jacob
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2022
Last updated Dec 17th, 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.

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