Dougherty, William G
Dougherty, William G is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 314, Anchorage AK 99508-5231. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Dougherty, William G can be contacted via phone (907) 274-2425.Contact Information
Primary practice address
4100 Lake Otis Pkwy Ste 314
Anchorage AK 99508-5231
Phone: (907) 274-2425
Fax: (907) 274-2428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1089 | Alaska |
Profile Details
| NPI number | 1669440343 |
|---|---|
| LBN Legal business name | Dougherty, William G |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Aug 26th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669440343 | NPPES |
| Alaska | MEDICAID | OT1089 |
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