Hartigan, Katheryn J

Hartigan, Katheryn J is an sole proprietor health care provider with primary practice located at 3855 Aubrey Ln , Orange Park FL 32065-8224. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Hartigan, Katheryn J can be contacted via phone (904) 451-8221.

Contact Information

Primary practice address
3855 Aubrey Ln Orange Park FL 32065-8224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1154888972
LBN Legal business name Hartigan, Katheryn J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2019
Last updated Feb 28th, 2019 - about 5 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 1154888972 NPPES
Florida MEDICAID 742507

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