Dougherty, Michael
Dougherty, Michael is an sole proprietor health care provider with primary practice located at 2500 Quantum Lakes Dr Suite 108, Boynton Beach FL 33426-8324. He recently has only one registered license in Other Service Providers / Lodging, which is considered as his primary health care specialty. Dougherty, Michael can be contacted via phone (561) 244-3627.Contact Information
Primary practice address
2500 Quantum Lakes Dr Suite 108
Boynton Beach FL 33426-8324
Phone: (561) 244-3627
Fax: (561) 244-9627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X |
Profile Details
| NPI number | 1467567073 |
|---|---|
| LBN Legal business name | Dougherty, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1467567073 | NPPES |
| Florida | Other | 415 | EMPLOYEE # |
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