Haskovec, Charles A

Haskovec, Charles A is an sole proprietor health care provider with primary practice located at 3704 Mattison Ave , Fort Worth TX 76107-2619. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haskovec, Charles A can be contacted via phone (817) 732-8441.

Contact Information

Primary practice address
3704 Mattison Ave Fort Worth TX 76107-2619
Phone: (817) 732-8441
Fax: (817) 732-1833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21069 Texas

Profile Details

NPI number 1134126279
LBN Legal business name Haskovec, Charles A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Feb 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134126279 NPPES
Texas MEDICAID 0324470902

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