Haseltine, Lance Fay

Haseltine, Lance Fay is an sole proprietor health care provider with primary practice located at 24521 Poquette Lake Rd , Shell Lake WI 54871-9240. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Haseltine, Lance Fay can be contacted via phone (612) 991-4889.

Contact Information

Primary practice address
24521 Poquette Lake Rd Shell Lake WI 54871-9240
Phone: (612) 991-4889
Fax: (218) 440-6849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 33541 Minnesota
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35039-20 Wisconsin

Profile Details

NPI number 1093010001
LBN Legal business name Haseltine, Lance Fay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2011
Last updated May 5th, 2024 - about last year

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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