Wing-Dougherty, Suzanne K

Wing-Dougherty, Suzanne K is an individual health care provider with primary practice located at 5930 Vandervoort Dr Ste A , Lincoln NE 68516-2391. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wing-Dougherty, Suzanne K can be contacted via phone (402) 420-2099.

Contact Information

Primary practice address
5930 Vandervoort Dr Ste A Lincoln NE 68516-2391
Phone: (402) 420-2099
Fax: (402) 420-2823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1013228477
LBN Legal business name Wing-Dougherty, Suzanne K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Jun 30th, 2010 - 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 1013228477 NPPES
Nebraska MEDICAID 47077636832

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