Provider Demographics
NPI:1477692390
Name:HASLETT, III, HARVEY B (DC)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:B
Last Name:HASLETT, III
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 E JIMMIE LEEDS RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9601
Mailing Address - Country:US
Mailing Address - Phone:609-748-1444
Mailing Address - Fax:609-748-0397
Practice Address - Street 1:542 E JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9601
Practice Address - Country:US
Practice Address - Phone:609-748-1444
Practice Address - Fax:609-748-0397
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00314400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0830468OtherAETNA INSURANCE
NJ572384OtherHORIZON BCBS OF NJ
NJ572384OtherAMERIHEALTH
NJ1447345OtherUNITED HEALTHCARE
NJ0393882000OtherAMERIHEALTH HMO
NJ0393882000OtherAMERIHEALTH HMO