Haeberle, Miles Alan
Haeberle, Miles Alan is an individual health care provider with primary practice located at 611 Clinic Rd , Challis ID 83226-4824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haeberle, Miles Alan can be contacted via phone (208) 879-4351.Contact Information
Primary practice address
611 Clinic Rd
Challis ID 83226-4824
Phone: (208) 879-4351
Fax: (208) 879-5216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1710496997 |
|---|---|
| LBN Legal business name | Haeberle, Miles Alan |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Jun 1st, 2020 - about 5 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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