Shayne King Dougherty in Havertown - Pediatrics
Shayne King Dougherty - NPI 1154358752
Shayne King Dougherty is a Pediatrics in Havertown, Pennsylvania. Shayne King Dougherty practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shayne King Dougherty is 1154358752. The last update date is 2007-07-08.
Shayne King Dougherty's current location address is 32 Greenview Ln, Havertown, Pennsylvania. You can contact this provider via phone number 6109249763. The mailing address for Shayne King Dougherty is 32 Greenview Ln, Havertown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shayne King Dougherty |
|---|---|
| Address | 32 Greenview Ln, Havertown, Pennsylvania |
| Phone Number | 6109249763 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1154358752 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 32 Greenview Ln |
|---|---|
| City | Havertown |
| State | Pennsylvania (PA) |
| Post Code | 190834313 |
| Phone Number | 6109249763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | SP007565 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the Shayne King Dougherty's unique identification number?
The Shayne King Dougherty has been assigned the NPI (National Provider Identifier) Number 1154358752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shayne King Dougherty located?
The Shayne King Dougherty is located at 32 Greenview Ln, Havertown, PA 190834313.
What is Shayne King Dougherty's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shayne King Dougherty's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Shayne King Dougherty receive its 1154358752 assignment from the Centers for Medicare & Medicaid Services?
The Shayne King Dougherty was assigned its 1154358752 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the Shayne King Dougherty's information last updated?
The Shayne King Dougherty's information was last updated on 2007-07-08.