Doughty, Denise
Doughty, Denise is an individual health care provider with primary practice located at 470 Mall Blvd Ste D , Dyersburg TN 38024-1648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Doughty, Denise can be contacted via phone (901) 287-9710.Contact Information
Primary practice address
470 Mall Blvd Ste D
Dyersburg TN 38024-1648
Phone: (901) 287-9710
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
NPI number | 1174639793 |
---|---|
LBN Legal business name | Doughty, Denise |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1174639793 | NPPES |
Tennessee | Other | PT1871 | LICENSE # |
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