MEDICARE: DR. CHAD ALLEN HALEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	024535	LA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	024535	LA
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	DR0072789	CO

General Provider Information

NPI Number	:	1295898542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD ALLEN HALEY MD

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR UNIT MEDDAC
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	910-322-7375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIRCLE
Second Line	:	EVANS ARMY COMMUNITY HOSPITAL
City	:	FORT CARSON
State	:	CO
Zip	:	80913-0001
Country	:	US
Telephone Number	:	719-526-7176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	02/07/2025

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