Individual
SHELBY B HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-8310
(304) 243-8430
Mailing address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003-6379
(304) 243-8310
(304) 243-8430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1284
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1284
WV STATE LICENSE
WV
Enumeration date
03/11/2014
Last updated
03/11/2014
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