Hoggatt, Mary Barbara
Hoggatt, Mary Barbara is an sole proprietor health care provider with primary practice located at 401 Grow Ave Nw , Bainbridge Island WA 98110-1733. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hoggatt, Mary Barbara can be contacted via phone (206) 842-7306.Contact Information
Primary practice address
401 Grow Ave Nw
Bainbridge Island WA 98110-1733
Phone: (206) 842-7306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00005672 | Washington |
Profile Details
| NPI number | 1609963180 |
|---|---|
| LBN Legal business name | Hoggatt, Mary Barbara |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 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 | 1609963180 | NPPES |
| Other | 11634305 | CAQH PROVIDER ID |
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