Dougherty, Marilyn A
Dougherty, Marilyn A is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Dougherty, Marilyn A can be contacted via phone (303) 449-3770.Contact Information
Primary practice address
12605 E 16Th Ave
Aurora CO 80045-2545
Phone: (303) 449-3770
Fax: (303) 400-5051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 23203 | Colorado |
Profile Details
| NPI number | 1891877981 |
|---|---|
| LBN Legal business name | Dougherty, Marilyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 1st, 2015 - about 10 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 | 1891877981 | NPPES |
| Colorado | MEDICAID | 01232032 |
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