Haley, Adam J
Haley, Adam J is an individual health care provider with primary practice located at 165 I Street Bld 402, Camp Lejeune NC 28547. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Haley, Adam J can be contacted via phone (910) 386-9158.Contact Information
Primary practice address
165 I Street Bld 402
Camp Lejeune NC 28547
Phone: (910) 386-9158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Other Service Providers / Military Health Care Provider | 171000000X | 0102207435 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0102207435 | Virginia |
Profile Details
| NPI number | 1235714619 |
|---|---|
| LBN Legal business name | Haley, Adam J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2021 |
| Last updated | Oct 30th, 2023 - about 2 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 | 1235714619 | NPPES |
| Virginia | Other | 0102207435 | MEDICAL LICENSE |
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