Haller, Jeffrey

Haller, Jeffrey is an individual health care provider with primary practice located at 104 Prominence Point Pkwy Ste 104, Canton GA 30114-1236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haller, Jeffrey can be contacted via phone (770) 704-6988.

Contact Information

Primary practice address
104 Prominence Point Pkwy Ste 104 Canton GA 30114-1236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055826 Georgia

Profile Details

NPI number 1659467629
LBN Legal business name Haller, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 22nd, 2013 - about 11 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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