Haller, Elisabeth Jones
Haller, Elisabeth Jones is an sole proprietor health care provider with primary practice located at 1721 Medical Park Dr Ste 200 , Biloxi MS 39532-2105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haller, Elisabeth Jones can be contacted via phone (228) 248-2572.Contact Information
Primary practice address
1721 Medical Park Dr Ste 200
Biloxi MS 39532-2105
Phone: (228) 248-2572
Fax: (228) 396-0687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15807 | Mississippi |
Profile Details
| NPI number | 1679679864 |
|---|---|
| LBN Legal business name | Haller, Elisabeth Jones |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679679864 | NPPES |
| Mississippi | MEDICAID | 00120595 |
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