Hailey, Brett R

Hailey, Brett R is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Hailey, Brett R can be contacted via phone (913) 676-2214.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 676-2214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD115613 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 115613 Missouri

Profile Details

NPI number 1063411916
LBN Legal business name Hailey, Brett R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063411916 NPPES
Kansas Other 27361069 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas Other P00651782 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas Other 27361039 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas MEDICAID 100403970C BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas Other P00721307 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas MEDICAID 100403970A BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas MEDICAID 100403970B BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas MEDICAID 204743017 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
Kansas Other 27361059 BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS

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