Haggerty, Karlene

Haggerty, Karlene is an individual health care provider with primary practice located at 20 Page Dr , Pinehurst NC 28374-8847. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Haggerty, Karlene can be contacted via phone (910) 621-2937.

Contact Information

Primary practice address
20 Page Dr Pinehurst NC 28374-8847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-27175 North Carolina

Profile Details

NPI number 1659948560
LBN Legal business name Haggerty, Karlene
Credentials LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Jun 9th, 2021 - 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 1659948560 NPPES
North Carolina MEDICAID 15163469

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