Haines, Gerard Joseph

Haines, Gerard Joseph is an individual health care provider with primary practice located at 12100 Black Swan Drive Suite 201, Lewes DE 19958-4988. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haines, Gerard Joseph can be contacted via phone (302) 644-3311.

Contact Information

Primary practice address
12100 Black Swan Drive Suite 201 Lewes DE 19958-4988
Phone: (302) 644-3311
Fax: (302) 644-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C50000346 Delaware

Profile Details

NPI number 1326099250
LBN Legal business name Haines, Gerard Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326099250 NPPES
Delaware MEDICAID 1000017128
Delaware Other 1184681488

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