Haggerty, James M

Haggerty, James M is an sole proprietor health care provider with primary practice located at 521 Ash Street , Dunmore PA 18510. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Haggerty, James M can be contacted via phone (570) 347-4420.

Contact Information

Primary practice address
521 Ash Street Dunmore PA 18510
Phone: (570) 347-4420
Fax: (570) 347-4732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002732L Pennsylvania

Profile Details

NPI number 1619934189
LBN Legal business name Haggerty, James M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Mar 10th, 2017 - about 7 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 1619934189 NPPES
Other 20885 GEISINGER
MEDICAID 0010023780003 GEISINGER
Other 148073 GEISINGER
Other 817398 GEISINGER

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