Hartigan, Mark Patrick
Hartigan, Mark Patrick is an sole proprietor health care provider with primary practice located at 3949 Holcomb Bridge Rd Suite 200, Norcross GA 30092-2207. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hartigan, Mark Patrick can be contacted via phone (678) 549-0268.Contact Information
Primary practice address
3949 Holcomb Bridge Rd Suite 200
Norcross GA 30092-2207
Phone: (678) 549-0268
Fax: (770) 640-6853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1501 | Georgia |
Profile Details
| NPI number | 1063541407 |
|---|---|
| LBN Legal business name | Hartigan, Mark Patrick |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1063541407 | NPPES |
| Georgia | MEDICAID | 00490168A |
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