Haney, Harold J

Haney, Harold J is an individual health care provider with primary practice located at 432 Rolling Ridge Dr Suite 2, State College PA 16801-7640. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Haney, Harold J can be contacted via phone (814) 234-0921.

Contact Information

Primary practice address
432 Rolling Ridge Dr Suite 2 State College PA 16801-7640
Fax: (814) 234-6240
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS024017L Pennsylvania

Profile Details

NPI number 1861579765
LBN Legal business name Haney, Harold J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 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 1861579765 NPPES
Pennsylvania MEDICAID 00979000

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