Hagerty, Mary M
Hagerty, Mary M is an sole proprietor health care provider with primary practice located at 420 W Jubal Early Dr Ste 104 , Winchester VA 22601-6435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Hagerty, Mary M can be contacted via phone (540) 667-6232.Contact Information
Primary practice address
420 W Jubal Early Dr Ste 104
Winchester VA 22601-6435
Phone: (540) 667-6232
Fax: (540) 667-6036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101048922 | Virginia |
Profile Details
| NPI number | 1942279195 |
|---|---|
| LBN Legal business name | Hagerty, Mary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 23rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942279195 | NPPES |
| Virginia | MEDICAID | 006085806 |
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