Haley, Larry Joe

Haley, Larry Joe is an individual health care provider with primary practice located at 1 Medical Plaza Pl , Minden LA 71055-3330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Haley, Larry Joe can be contacted via phone (318) 377-2321.

Contact Information

Primary practice address
1 Medical Plaza Pl Minden LA 71055-3330
Phone: (318) 377-2321
Fax: (318) 371-3219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 31805 Louisiana

Profile Details

NPI number 1114907649
LBN Legal business name Haley, Larry Joe
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114907649 NPPES
Louisiana MEDICAID 1901253

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