Haney, William Kirk

Haney, William Kirk is an individual health care provider with primary practice located at 620 Crossover Road , Tupelo MS 38801-4944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Haney, William Kirk can be contacted via phone (662) 620-7102.

Contact Information

Primary practice address
620 Crossover Road Tupelo MS 38801-4944
Fax: (662) 620-7106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13244 Mississippi

Profile Details

NPI number 1609818442
LBN Legal business name Haney, William Kirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 28th, 2017 - about 7 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 1609818442 NPPES
Mississippi Other P01399779 RAILROAD MEDICAR
Mississippi MEDICAID 191189 RAILROAD MEDICAR
Mississippi Other 300117809 RAILROAD MEDICAR
Mississippi MEDICAID 009949340 RAILROAD MEDICAR
Mississippi MEDICAID 00116563 RAILROAD MEDICAR

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