Dougherty, Shannon Marie
Dougherty, Shannon Marie is an individual health care provider with primary practice located at 5501 Old York Rd Hb-Ground, Philadelphia PA 19141-3018. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dougherty, Shannon Marie can be contacted via phone (215) 456-6649.Contact Information
Primary practice address
5501 Old York Rd Hb-Ground
Philadelphia PA 19141-3018
Phone: (215) 456-6649
Fax: (215) 456-4992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1801926167 |
|---|---|
| LBN Legal business name | Dougherty, Shannon Marie |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| 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.
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