Smith, Hayley Jo

Smith, Hayley Jo is an individual health care provider with primary practice located at 3650 Coalition Dr , Myrtle Beach SC 29588-6183. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Smith, Hayley Jo can be contacted via phone (843) 293-7713.

Contact Information

Primary practice address
3650 Coalition Dr Myrtle Beach SC 29588-6183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5320 South Carolina

Profile Details

NPI number 1962653261
LBN Legal business name Smith, Hayley Jo
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Oct 6th, 2008 - 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 1962653261 NPPES
South Carolina MEDICAID GP0242

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