Jack Leroy Haling
MD | Pediatrics | Male
Jack Leroy Haling, MD is a Mount Shasta, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Leroy Haling is
824 Pine St, Mount Shasta, California - 96067-2137. He can be contacted on phone at
530-926-4528 and fax number 530-926-5070.
Jack Leroy Haling is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Leroy Haling is
1861482002 which was assigned by NPPES on 27 Oct, 2005 and it was last updated on 21 Mar, 2012.
Jack Leroy Haling license number is
C28244 for Pediatrics (208000000X) in California.
Jack Leroy Haling is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Leroy Haling basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jack Leroy Haling |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jack Leroy Haling address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 824 Pine St
Mount Shasta, CA, 96067-2137
United States |
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| Phone Number : | 530-926-4528 |
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| Fax Number : | 530-926-5070 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861482002 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Oct, 2005 |
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| Last Updated On : | 21 Mar, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Leroy Haling are as mentioned. Primary taxonomy code for Jack Leroy Haling, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | C28244 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jack Leroy Haling such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00C282440 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 339
Mount Shasta, CA, 96067-0339
United States |
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| Phone Number : | 530-926-5613 |
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| Fax Number : | 530-926-8798 |
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Business Location:
Patients can refer following map for directions to
Jack Leroy Haling practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.