Phillips, Haley
Phillips, Haley is an sole proprietor health care provider with primary practice located at 12 Executive Park Dr Ne , Atlanta GA 30329-2206. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Phillips, Haley can be contacted via phone (248) 861-3750.Contact Information
Primary practice address
12 Executive Park Dr Ne
Atlanta GA 30329-2206
Phone: (248) 861-3750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11018683A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 85262 | Georgia |
Profile Details
| NPI number | 1316394398 |
|---|---|
| LBN Legal business name | Phillips, Haley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2016 |
| Last updated | Sep 28th, 2021 - about 4 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 | 1316394398 | NPPES |
| Indiana | Other | 11018683A | MEDICAL RESIDENCY PERMIT |
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