Haley, Terri L
Haley, Terri L is an individual health care provider with primary practice located at 514 Oak St , Sandpoint ID 83864-1480. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haley, Terri L can be contacted via phone (208) 265-7965.Contact Information
Primary practice address
514 Oak St
Sandpoint ID 83864-1480
Phone: (208) 265-7965
Fax: (208) 265-7965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100004 | Idaho |
Profile Details
| NPI number | 1114929817 |
|---|---|
| LBN Legal business name | Haley, Terri L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 4th, 2007 - about 19 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 | 1114929817 | NPPES |
| Idaho | Other | V5418 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010137596 | BLUE CROSS OF IDAHO |
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