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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1942238027 NPPES
Missouri MEDICAID 247956733

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