Hale, Terrance

Hale, Terrance is an sole proprietor health care provider with primary practice located at 3500 Highway 5 , Douglasville GA 30135-2315. He recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Hale, Terrance can be contacted via phone (844) 433-3671.

Contact Information

Primary practice address
3500 Highway 5 Douglasville GA 30135-2315
Phone: (844) 433-3671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Georgia
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1265197925
LBN Legal business name Hale, Terrance
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2021
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265197925 NPPES
Georgia MEDICAID 003247136B
Georgia Other 01011975
Georgia Other 251C00000X
Georgia MEDICAID 003247136A
Georgia MEDICAID 003252348A

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