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JESSE D HAILE OT, NPI 1750383907

Occupational Therapist in HEPHZIBAH, GA

Last Updated on : Jul 08,2007

About JESSE D HAILE (NPI 1750383907)


JESSE D HAILE is an Occupational Therapist provider in HEPHZIBAH, United States. His medical specialization is Occupational Therapist with a focus in Pediatrics.

1750383907 is NPI number of JESSE D HAILE.

JESSE D HAILE's primary taxonomy code based on NPI Lookup is 225XP0200X with license number 3611. This taxonomy code refers to Occupational Therapist.

JESSE D HAILE has more than 16 years of experience.

JESSE D HAILE current practice location address is 2367 GA HIGHWAY 88, HEPHZIBAH, GA. JESSE D HAILE can be reached out via phone at 706-592-5565 .

You can also correspond with JESSE D HAILE through mail at mailing address 2367 GA HIGHWAY 88, HEPHZIBAH, GA, United States. Mailing address contact number is 706-592-5565.

The enumeration date of JESSE D HAILE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1750383907 NPI Information

Name JESSE D HAILE
National Provider Id (NPI) 1750383907
Entity Type Individual
Gender M
Credential OT
Practice Address 2367 GA HIGHWAY 88,
HEPHZIBAH, GA, United States
Practice Telephone 706-592-5565
Practice Fax Number
Mailing Address 2367 GA HIGHWAY 88 ,
HEPHZIBAH, GA, United States
Mailing Telephone 706-592-5565
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 08-Jul-2007

JESSE D HAILE (NPI 1750383907) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 225XP0200X Occupational Therapist, Pediatrics 3611 GA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000954555B MEDICAID (05) GA
67BBBLV MEDICARE ID-Type Unspecified (04) GA

JESSE D HAILE (NPI 1750383907) Office Location

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1649868787 JOHNEATHIA COMBS Case Manager/Care Coordinator 1403 WALTON LOOP,
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1831436930 LAKEISHA LANNICK LIGHTEN Nurse's Aide 3551 WINDSOR SPRING RD, 22
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1649669912 PAMELA M HARTLE Occupational Therapy Assistant 298 WINTER RD,
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1518298116 CSB OF EAST CENTRAL GA Residential Treatment Facility, Intellectual and/or Developmental Disabilities 3421 MIKE PADGETT HWY,
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1619208717 GRACE ISOKEN OGALA Nurse Practitioner, Family 350 AUSTIN GRAYBILL RD,
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1972583151 FRED M HANNAN Dentist, General Practice 4108 WINDSOR SPRING RD, SUITE B
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1831841667 JACQUELINE YVETTE ROGERS Registered Nurse 3616 PHYLLIS CT,
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1396890489 NILS BETHEL CHANDLER Counselor, Addiction (Substance Use Disorder) 1112 FOX DEN RD,
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1710225750 BUTTERFLY EFFECT LLC Early Intervention Provider Agency 1007 EVANS RD,
HEPHZIBAH, GA, United States
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FAQs

Whose NPI Number is 1750383907?

1750383907 is the NPI number of JESSE D HAILE.

What is the specialty for JESSE D HAILE?

The Specialty of JESSE D HAILE is Occupational Therapist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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