Haskovec, Charles A
Haskovec, Charles A is an sole proprietor health care provider with primary practice located at 3704 Mattison Ave , Fort Worth TX 76107-2619. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haskovec, Charles A can be contacted via phone (817) 732-8441.Contact Information
Primary practice address
3704 Mattison Ave
Fort Worth TX 76107-2619
Phone: (817) 732-8441
Fax: (817) 732-1833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 21069 | Texas |
Profile Details
| NPI number | 1134126279 |
|---|---|
| LBN Legal business name | Haskovec, Charles A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Feb 16th, 2010 - about 16 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 | 1134126279 | NPPES |
| Texas | MEDICAID | 0324470902 |
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