Haines, Jillian

Haines, Jillian is an sole proprietor health care provider with primary practice located at 3103 Dixie Hwy , Hamilton OH 45015-1653. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Recovery Care, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Haines, Jillian can be contacted via phone (513) 892-4673.

Contact Information

Primary practice address
3103 Dixie Hwy Hamilton OH 45015-1653
Phone: (513) 892-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1598361107
LBN Legal business name Haines, Jillian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2020
Last updated May 11th, 2021 - about 5 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 1598361107 NPPES
Ohio MEDICAID 117440361
Ohio MEDICAID 87860667

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