Dougherty, Kelsey Marie
Dougherty, Kelsey Marie is an individual health care provider with primary practice located at 1530 N Randall Rd , Elgin IL 60123-7877. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dougherty, Kelsey Marie can be contacted via phone (847) 741-2818.Contact Information
Primary practice address
1530 N Randall Rd
Elgin IL 60123-7877
Phone: (847) 741-2818
Fax: (847) 741-8694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147.001840 | Illinois |
Profile Details
| NPI number | 1174297659 |
|---|---|
| LBN Legal business name | Dougherty, Kelsey Marie |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2021 |
| Last updated | Aug 13th, 2021 - about 4 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 | 1174297659 | NPPES |
| Illinois | Other | 147.001840 | ILLINOIS STATE LICENSE |
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