Haley, David S
Haley, David S is an sole proprietor health care provider with primary practice located at 3800 Paluxy Dr Ste 137 , Tyler TX 75703-1652. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Haley, David S can be contacted via phone (903) 830-8334.Contact Information
Primary practice address
3800 Paluxy Dr Ste 137
Tyler TX 75703-1652
Phone: (903) 830-8334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13370 | Texas |
Profile Details
| NPI number | 1538510409 |
|---|---|
| LBN Legal business name | Haley, David S |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2016 |
| Last updated | Jul 8th, 2019 - about 7 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 | 1538510409 | NPPES |
| Texas | Other | 13370 | LCDC |
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