Haggerty, Charles Justin

Haggerty, Charles Justin is an sole proprietor health care provider with primary practice located at 3765 E. Blue Lupine Dr. Suite D , Wasilla AK 99654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Haggerty, Charles Justin can be contacted via phone (907) 707-1671.

Contact Information

Primary practice address
3765 E. Blue Lupine Dr. Suite D Wasilla AK 99654
Phone: (907) 707-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MEDS8124 Alaska

Profile Details

NPI number 1487847430
LBN Legal business name Haggerty, Charles Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487847430 NPPES
Alaska MEDICAID 1635987

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