Dougherty, Susan E.

Dougherty, Susan E. is an individual health care provider with primary practice located at 535 Main St , Olean NY 14760. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dougherty, Susan E. can be contacted via phone (716) 372-0141.

Contact Information

Primary practice address
535 Main St Olean NY 14760
Phone: (716) 372-0141
Fax: (716) 372-6421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420192 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000461 New York

Profile Details

NPI number 1295708774
LBN Legal business name Dougherty, Susan E.
Credentials NP-CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 15th, 2016 - about 8 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 1295708774 NPPES
New York MEDICAID 01436364

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