Dougherty, Patrick

Dougherty, Patrick is an individual health care provider with primary practice located at 1004 Dresser Ct , Raleigh NC 27609-7325. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Dougherty, Patrick can be contacted via phone (919) 872-2022.

Contact Information

Primary practice address
1004 Dresser Ct Raleigh NC 27609-7325
Phone: (919) 872-2022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 740 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 740 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 740 North Carolina
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 740 North Carolina

Profile Details

NPI number 1386616415
LBN Legal business name Dougherty, Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Oct 19th, 2016 - 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 1386616415 NPPES
North Carolina Other 6712460018 MEDICARE NSC RALEIGH
North Carolina Other 6712460024 MEDICARE NSC RALEIGH

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