Provider Demographics
NPI:1578136685
Name:MORGAN, HAYLE M
Entity Type:Individual
Prefix:
First Name:HAYLE
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 CHANDELL ST
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-2013
Mailing Address - Country:US
Mailing Address - Phone:304-790-4955
Mailing Address - Fax:
Practice Address - Street 1:1440 CHANDELL ST
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-2013
Practice Address - Country:US
Practice Address - Phone:304-790-4955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker