Haley, Autumn Jean
Haley, Autumn Jean is an sole proprietor health care provider with primary practice located at 150 Amberwood Dr , Fort Stewart GA 31315-1780. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Haley, Autumn Jean can be contacted via phone (970) 310-4629.Contact Information
Primary practice address
150 Amberwood Dr
Fort Stewart GA 31315-1780
Phone: (970) 310-4629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1497193494 |
|---|---|
| LBN Legal business name | Haley, Autumn Jean |
| Credentials | DENTAL ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2013 |
| Last updated | Jun 12th, 2013 - about 12 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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