Dougherty, Lela Evelyn
Dougherty, Lela Evelyn is an sole proprietor health care provider with primary practice located at 4284 William Flynn Hwy Ste 102 , Allison Park PA 15101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dougherty, Lela Evelyn can be contacted via phone (412) 685-3373.Contact Information
Primary practice address
4284 William Flynn Hwy Ste 102
Allison Park PA 15101
Phone: (412) 685-3373
Fax: (412) 423-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD438705 | Pennsylvania |
Profile Details
| NPI number | 1891970091 |
|---|---|
| LBN Legal business name | Dougherty, Lela Evelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2008 |
| Last updated | Jul 17th, 2018 - about 6 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 | 1891970091 | NPPES |
| Pennsylvania | MEDICAID | 1025147020002 |
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