Hagarty, Michele Anette

Hagarty, Michele Anette is an individual health care provider with primary practice located at 300 W Lincoln St Suite 402, Belleville IL 62220-1987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hagarty, Michele Anette can be contacted via phone (618) 277-0475.

Contact Information

Primary practice address
300 W Lincoln St Suite 402 Belleville IL 62220-1987
Phone: (618) 277-0475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-004878 Illinois

Profile Details

NPI number 1699862581
LBN Legal business name Hagarty, Michele Anette
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699862581 NPPES
Illinois MEDICAID 041209241

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