Haney, Charles Douglas

Haney, Charles Douglas is an individual health care provider with primary practice located at 215 S Cedar Ln , Pulaski TN 38478-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haney, Charles Douglas can be contacted via phone (931) 363-2511.

Contact Information

Primary practice address
215 S Cedar Ln Pulaski TN 38478-3502
Phone: (931) 363-2511
Fax: (931) 424-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13533 Tennessee

Profile Details

NPI number 1285615385
LBN Legal business name Haney, Charles Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 2nd, 2010 - about 16 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 1285615385 NPPES
Tennessee MEDICAID 3189955

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