Dougherty, Laura Waikart

Dougherty, Laura Waikart is an individual health care provider with primary practice located at 103 Midlands Ct , West Columbia SC 29169-3456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Dougherty, Laura Waikart can be contacted via phone (803) 794-3581.

Contact Information

Primary practice address
103 Midlands Ct West Columbia SC 29169-3456
Phone: (803) 794-3581
Fax: (803) 791-7286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 28749 South Carolina

Profile Details

NPI number 1881632289
LBN Legal business name Dougherty, Laura Waikart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 16th, 2015 - about 9 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 1881632289 NPPES
South Carolina Other AA16666874 MEDICARE PTAN
South Carolina Other TL28749 MEDICARE PTAN

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