Dougherty, Thomas H

Dougherty, Thomas H is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite B510, Huntington WV 25701-3656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dougherty, Thomas H can be contacted via phone (304) 691-8850.

Contact Information

Primary practice address
1600 Medical Center Dr Suite B510 Huntington WV 25701-3656
Phone: (304) 691-8850
Fax: (304) 523-9470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22471 West Virginia
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 22471 West Virginia

Profile Details

NPI number 1003890740
LBN Legal business name Dougherty, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 24th, 2012 - about 12 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 1003890740 NPPES
Ohio MEDICAID 2694866
Ohio MEDICAID 3810006887

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