Hailey, Larry Shea Shea

Hailey, Larry Shea Shea is an individual health care provider with primary practice located at 1600 22Nd Ave Medical Towers Iii, Meridian MS 39301-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hailey, Larry Shea Shea can be contacted via phone (601) 483-5322.

Contact Information

Primary practice address
1600 22Nd Ave Medical Towers Iii Meridian MS 39301-3223
Phone: (601) 483-5322
Fax: (601) 581-2289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L8714 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16351 Mississippi

Profile Details

NPI number 1225232895
LBN Legal business name Hailey, Larry Shea Shea
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Feb 8th, 2011 - about 14 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 1225232895 NPPES
Mississippi MEDICAID 06258755

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