Dougherty, Rachel Ellen

Dougherty, Rachel Ellen is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Dougherty, Rachel Ellen can be contacted via phone (812) 376-5322.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Phone: (812) 376-5322
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11019499A Indiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01085333A Indiana

Profile Details

NPI number 1043740483
LBN Legal business name Dougherty, Rachel Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2017
Last updated Oct 20th, 2022 - about 2 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 1043740483 NPPES
Indiana MEDICAID 11019499A

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