Haley, Eileen C

Haley, Eileen C is an individual health care provider with primary practice located at 2 Essex Dr Internal Medicine, Peabody MA 01960-2902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Haley, Eileen C can be contacted via phone (978) 532-2800.

Contact Information

Primary practice address
2 Essex Dr Internal Medicine Peabody MA 01960-2902
Fax: (978) 977-4492
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45101 Massachusetts

Profile Details

NPI number 1780642983
LBN Legal business name Haley, Eileen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 8th, 2011 - about 13 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 1780642983 NPPES
Massachusetts Other 045101 TUFTS
Massachusetts Other 5630495-001 TUFTS
Massachusetts Other 3214508 TUFTS
Massachusetts Other 64494 TUFTS
Massachusetts Other 0016138 TUFTS
Massachusetts MEDICAID 3094871 TUFTS
Massachusetts Other J12026 TUFTS

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