Halloran, Jennifer Daugherty
Halloran, Jennifer Daugherty is an individual health care provider with primary practice located at 100 E Dune St , Nags Head NC 27959-8848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Halloran, Jennifer Daugherty can be contacted via phone (252) 449-5200.Contact Information
Primary practice address
100 E Dune St
Nags Head NC 27959-8848
Phone: (252) 449-5200
Fax: (252) 449-5205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200300986 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200300986 | North Carolina |
Profile Details
| NPI number | 1255334652 |
|---|---|
| LBN Legal business name | Halloran, Jennifer Daugherty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | May 21st, 2014 - about 10 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 | 1255334652 | NPPES |
| North Carolina | MEDICAID | 135U7 |
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