Jack Leroy Haling, MD
Pediatrics in Mount Shasta, CA. Individual provider (NPI-1).
NPI number1861482002
StatusActive
Last updated in NPPESMar 21, 2012
Details
- NPI
- 1861482002
- Entity type
- Individual (NPI-1)
- Name
- Jack Leroy Haling
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Last updated
- Mar 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | C28244 | CA | Yes |
Practice location
824 Pine StMount Shasta, CA 96067-2137
Phone 530-926-4528 · Fax 530-926-5070
Mailing address
Po Box 339Mount Shasta, CA 96067-0339
Phone 530-926-5613 · Fax 530-926-8798
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatrics Physician providers in Mount Shasta, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.