Dougherty, Mary Jo
Dougherty, Mary Jo is an individual health care provider with primary practice located at 1133 First Colonial Rd , Virginia Beach VA 23454-2402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dougherty, Mary Jo can be contacted via phone (757) 496-2050.Contact Information
Primary practice address
1133 First Colonial Rd
Virginia Beach VA 23454-2402
Phone: (757) 496-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA052848 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110003585 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C5-0000574 | Delaware |
Profile Details
| NPI number | 1578602017 |
|---|---|
| LBN Legal business name | Dougherty, Mary Jo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Nov 4th, 2014 - 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.
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