Hailey, Brett R
Hailey, Brett R is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Hailey, Brett R can be contacted via phone (913) 676-2214.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 676-2214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD115613 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 115613 | Missouri |
Profile Details
| NPI number | 1063411916 |
|---|---|
| LBN Legal business name | Hailey, Brett R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jun 30th, 2021 - about 3 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 | 1063411916 | NPPES |
| Kansas | Other | 27361069 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | Other | P00651782 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | Other | 27361039 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | MEDICAID | 100403970C | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | Other | P00721307 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | MEDICAID | 100403970A | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | MEDICAID | 100403970B | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | MEDICAID | 204743017 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
| Kansas | Other | 27361059 | BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS |
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