Robert Lee Dougherty in Casey - Medical
Robert Lee Dougherty - NPI 1891787529
Robert Lee Dougherty is a Medical in Casey, Illinois. Robert Lee Dougherty practices all healthcare services and medical treatments related to Medical. The NPI Number for Robert Lee Dougherty is 1891787529. The last update date is 2007-07-09.
Robert Lee Dougherty's current location address is 412 Nw 3rd St, Casey, Illinois. You can contact this provider via phone number 2179324061 and fax number 2179325191. The mailing address for Robert Lee Dougherty is 412 Nw 3rd St, Casey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lee Dougherty |
|---|---|
| Address | 412 Nw 3rd St, Casey, Illinois |
| Phone Number | 2179324061 |
| Fax Number | 2179325191 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1891787529 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 412 Nw 3rd St |
|---|---|
| City | Casey |
| State | Illinois (IL) |
| Post Code | 624201014 |
| Phone Number | 2179324061 |
| Fax Number | 2179325191 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85000498 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Lee Dougherty by the Centers for Medicare & Medicaid Services?
The Robert Lee Dougherty has been assigned the NPI (National Provider Identifier) 1891787529 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Robert Lee Dougherty is physically located?
The Robert Lee Dougherty is situated at the following address: 412 Nw 3Rd St, Casey, IL 624201014.
What is the Robert Lee Dougherty's area of specialization and corresponding taxonomy classification?
The Robert Lee Dougherty's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1891787529 to Robert Lee Dougherty?
The Centers for Medicare & Medicaid Services assigned the 1891787529 to Robert Lee Dougherty on 2005-08-18.
As of what date was the information pertaining to Robert Lee Dougherty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Lee Dougherty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.