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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386616415 | NPPES |
| North Carolina | Other | 6712460018 | MEDICARE NSC RALEIGH |
| North Carolina | Other | 6712460024 | MEDICARE NSC RALEIGH |
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