Haley, Stephen Mark

Haley, Stephen Mark is an individual health care provider with primary practice located at 1863 Cr 5300 , Coffeyville KS 67337-8301. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Haley, Stephen Mark can be contacted via phone (620) 251-4145.

Contact Information

Primary practice address
1863 Cr 5300 Coffeyville KS 67337-8301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 1-14408 Kansas

Profile Details

NPI number 1699256834
LBN Legal business name Haley, Stephen Mark
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2018
Last updated Aug 26th, 2018 - about 6 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 1699256834 NPPES
Kansas Other 1-14408 KS STATE BOARD OF PHARMACY

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