Mrs Pamela Jill Doherty, RDLD is a
Dietitian, Registered based in Wright-patterson Afb, Ohio. Mrs Pamela Jill Doherty is licensed to practice in Ohio (license number LD. 5368) and her current practice location is
2690 C St, Bldg 571 (area B) Wright-field Fitness Ctr, (area B) Wright-field Fitness, Wright-patterson Afb, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 904-9361.
NPI number for Mrs Pamela Jill Doherty is 1093918310 and her current mailing address is 6181 State Route 734, Jamestown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093918310.
Healthcare Provider's Profile
| Full Name | Mrs Pamela Jill Doherty |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2690 C St, Bldg 571 (area B) Wright-field Fitness Ctr, Wright-patterson Afb, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093918310
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Pamela Jill Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093918310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD. 5368 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Pamela Jill Doherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Pamela Jill Doherty, RDLD
6181 State Route 734,
Jamestown, OH 45335-8706
Ph: (937) 238-6096 | Mrs Pamela Jill Doherty, RDLD
2690 C St, Bldg 571 (area B) Wright-field Fitness Ctr, (area B) Wright-field Fitness,
Wright-patterson Afb, OH 45433-5350
Ph: (937) 904-9361 |
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