Dougherty, John J
Dougherty, John J is an individual health care provider with primary practice located at 1010 Carondelet Dr Ste 220 , Kansas City MO 64114-4822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dougherty, John J can be contacted via phone (816) 941-1600.Contact Information
Primary practice address
1010 Carondelet Dr Ste 220
Kansas City MO 64114-4822
Phone: (816) 941-1600
Fax: (816) 941-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 104398 | Missouri |
Profile Details
| NPI number | 1942238027 |
|---|---|
| LBN Legal business name | Dougherty, John J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Sep 7th, 2010 - about 14 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 | 1942238027 | NPPES |
| Missouri | MEDICAID | 247956733 |
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