Dougherty, William E.

Dougherty, William E. is an individual health care provider with primary practice located at 927 Broadway St Suite 303, Quincy IL 62301-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dougherty, William E. can be contacted via phone (217) 224-6423.

Contact Information

Primary practice address
927 Broadway St Suite 303 Quincy IL 62301-2719
Fax: (217) 222-9807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036-114502 Illinois

Profile Details

NPI number 1326054404
LBN Legal business name Dougherty, William E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 6th, 2009 - about 15 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 1326054404 NPPES
Illinois MEDICAID 036114502
Illinois Other 110073

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