Dougherty, Shawn
Dougherty, Shawn is an sole proprietor health care provider with primary practice located at 490 Silver Ln , East Hartford CT 06118-1100. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dougherty, Shawn can be contacted via phone (860) 593-3902.Contact Information
Primary practice address
490 Silver Ln
East Hartford CT 06118-1100
Phone: (860) 593-3902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001019 | Connecticut |
Profile Details
| NPI number | 1023353653 |
|---|---|
| LBN Legal business name | Dougherty, Shawn |
| Credentials | MS, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2012 |
| Last updated | Dec 8th, 2012 - about 13 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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