Dougherty, Joseph Alan

Dougherty, Joseph Alan is an individual health care provider with primary practice located at 500 Central Rd , New Lenox IL 60451-3308. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dougherty, Joseph Alan can be contacted via phone (815) 931-1984.

Contact Information

Primary practice address
500 Central Rd New Lenox IL 60451-3308
Phone: (815) 931-1984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X LL-424-16 Nevada

Profile Details

NPI number 1184167363
LBN Legal business name Dougherty, Joseph Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated Nov 21st, 2016 - about 8 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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