Haile, Degaulle G.

Haile, Degaulle G. is an individual health care provider with primary practice located at 2114 25Th St Ste A , Columbus IN 47201-3239. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Haile, Degaulle G. can be contacted via phone (812) 372-1581.

Contact Information

Primary practice address
2114 25Th St Ste A Columbus IN 47201-3239
Phone: (812) 372-1581
Fax: (812) 376-4028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036110330 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01072506A Indiana

Profile Details

NPI number 1881782506
LBN Legal business name Haile, Degaulle G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 19th, 2024 - about last year

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 1881782506 NPPES
Illinois MEDICAID 036110330
Illinois Other 000000984538
Illinois MEDICAID 201176670

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