Individual
DR. MICHAEL ALLEN HAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 972-6712
Mailing address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 972-6712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
119
AR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
119
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118795717
—
AR
01
—
12801000000
QUAL CHOICE PROVIDER #
AR
01
—
480014470
RAILROAD MEDICARE #
AR
01
—
56472
BLUE CROSS PROVIDER #
AR
Enumeration date
06/16/2006
Last updated
05/27/2021
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