Haggerty, Michael

Haggerty, Michael is an sole proprietor health care provider with primary practice located at 5533 Mahoning Ave Suite D, Youngstown OH 44515-2366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Haggerty, Michael can be contacted via phone (330) 793-7966.

Contact Information

Primary practice address
5533 Mahoning Ave Suite D Youngstown OH 44515-2366
Fax: (330) 793-8688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35070508 Ohio

Profile Details

NPI number 1992808794
LBN Legal business name Haggerty, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jan 19th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992808794 NPPES
Ohio MEDICAID 0258984

Popular Providers