Haxton, William Edward

Haxton, William Edward is an individual health care provider with primary practice located at 1036 Kinley Rd , Irmo SC 29063-9632. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haxton, William Edward can be contacted via phone (803) 407-7099.

Contact Information

Primary practice address
1036 Kinley Rd Irmo SC 29063-9632
Phone: (803) 407-7099
Fax: (803) 407-7259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 654 South Carolina

Profile Details

NPI number 1932126687
LBN Legal business name Haxton, William Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932126687 NPPES
South Carolina MEDICAID PS0285

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