Haughey, Carol Therese

Haughey, Carol Therese is an individual health care provider with primary practice located at 1050 Legion Drive , Elm Grove WI 53122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haughey, Carol Therese can be contacted via phone (262) 782-8272.

Contact Information

Primary practice address
1050 Legion Drive Elm Grove WI 53122
Phone: (262) 782-8272
Fax: (262) 782-5420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 311023 Wisconsin

Profile Details

NPI number 1043398464
LBN Legal business name Haughey, Carol Therese
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1043398464 NPPES
Wisconsin MEDICAID 30477700

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