Individual
MR. JEFFREY SCOTT HASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CPO,FAAOP
Contact information
Practice address
120 E. KINGSTON AVENUE, CHARLOTTE, NC 28203-4742
(704) 375-2587
(704) 333-4429
Mailing address
120 E. KINGSTON AVENUE, CHARLOTTE, NC 28203-4742
(704) 375-2587
(704) 333-4429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700966
—
NC
05
—
7795096
—
NC
Enumeration date
04/09/2007
Last updated
08/09/2010
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