Haile, Mark Evans
Haile, Mark Evans is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Haile, Mark Evans can be contacted via phone (985) 230-1332.Contact Information
Primary practice address
15790 Paul Vega Md Dr
Hammond LA 70403-1434
Phone: (985) 230-1332
Fax: (985) 230-1334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.016204 | Louisiana |
Profile Details
| NPI number | 1023028560 |
|---|---|
| LBN Legal business name | Haile, Mark Evans |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Oct 6th, 2021 - about 5 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 | 1023028560 | NPPES |
| Other | 080119898 | RR MEDICARE | |
| MEDICAID | 1319945 | RR MEDICARE | |
| MEDICAID | 06221500 | RR MEDICARE |
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