Haggerty, Ronald D

Haggerty, Ronald D is an sole proprietor health care provider with primary practice located at 6609 Main St , Gloucester VA 23061-5194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haggerty, Ronald D can be contacted via phone (804) 824-9153.

Contact Information

Primary practice address
6609 Main St Gloucester VA 23061-5194
Phone: (804) 824-9153
Fax: (804) 694-3174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101225016 Virginia

Profile Details

NPI number 1083702385
LBN Legal business name Haggerty, Ronald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Dec 2nd, 2015 - about 11 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 1083702385 NPPES
Virginia MEDICAID 1083702385

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