Haughey, Michael Allen
Haughey, Michael Allen is an individual health care provider with primary practice located at 1010 S Main St , Jonesboro AR 72401-3503. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Haughey, Michael Allen can be contacted via phone (870) 932-1820.Contact Information
Primary practice address
1010 S Main St
Jonesboro AR 72401-3503
Phone: (870) 932-1820
Fax: (870) 972-6712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 119 | Arkansas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 119 | Arkansas |
Profile Details
| NPI number | 1861436875 |
|---|---|
| LBN Legal business name | Haughey, Michael Allen |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | May 27th, 2021 - about 4 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 | 1861436875 | NPPES |
| Arkansas | Other | 56472 | BLUE CROSS PROVIDER # |
| Arkansas | Other | 12801000000 | BLUE CROSS PROVIDER # |
| Arkansas | MEDICAID | 118795717 | BLUE CROSS PROVIDER # |
| Arkansas | Other | 480014470 | BLUE CROSS PROVIDER # |
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