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Contact Information

JOHN DOUGHERTY
56 WILLOW ST
VALPARAISO, IN46383-4223
 Phone: 219-309-7254
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN DOUGHERTY · (Male)

NPI # 1053722934
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2014
Last updated 01/26/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01091630A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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