Hagerty, Rebecca
Hagerty, Rebecca is an individual health care provider with primary practice located at 1200 Sixth St Ste 400, Traverse City MI 49684-2369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Hagerty, Rebecca can be contacted via phone (231) 392-0650.Contact Information
Primary practice address
1200 Sixth St Ste 400
Traverse City MI 49684-2369
Phone: (231) 392-0650
Fax: (231) 392-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | RV013390 | Michigan |
Profile Details
| NPI number | 1568463057 |
|---|---|
| LBN Legal business name | Hagerty, Rebecca |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jan 8th, 2008 - about 16 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 | 1568463057 | NPPES |
| Michigan | MEDICAID | 4989078 |
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