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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1043398464 | NPPES |
| Wisconsin | MEDICAID | 30477700 |
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