Haley, Terri L

Haley, Terri L is an individual health care provider with primary practice located at 514 Oak St , Sandpoint ID 83864-1480. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haley, Terri L can be contacted via phone (208) 265-7965.

Contact Information

Primary practice address
514 Oak St Sandpoint ID 83864-1480
Fax: (208) 265-7965
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100004 Idaho

Profile Details

NPI number 1114929817
LBN Legal business name Haley, Terri L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 4th, 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 1114929817 NPPES
Idaho Other V5418 BLUE CROSS OF IDAHO
Idaho Other 000010137596 BLUE CROSS OF IDAHO

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