Haley, Carien N
Haley, Carien N is an sole proprietor health care provider with primary practice located at 424 Market St Suite 101, Suffolk VA 23434-5200. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Haley, Carien N can be contacted via phone (757) 934-1400.Contact Information
Primary practice address
424 Market St Suite 101
Suffolk VA 23434-5200
Phone: (757) 934-1400
Fax: (757) 934-1404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | HCO-12774 | Virginia |
Profile Details
| NPI number | 1306116215 |
|---|---|
| LBN Legal business name | Haley, Carien N |
| Credentials | CEO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2012 |
| Last updated | Jan 9th, 2012 - about 14 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 | 1306116215 | NPPES |
| Virginia | MEDICAID | 0164900836 | |
| Virginia | MEDICAID | 0155894261 | |
| Virginia | MEDICAID | 0155893966 |
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