Haines, Philip C.

Haines, Philip C. is an sole proprietor health care provider with primary practice located at 1011 Parchment Dr Se , Grand Rapids MI 49546-3664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Haines, Philip C. can be contacted via phone (616) 957-2200.

Contact Information

Primary practice address
1011 Parchment Dr Se Grand Rapids MI 49546-3664
Phone: (616) 957-2200
Fax: (616) 957-4274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301033971 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301033971 Michigan

Profile Details

NPI number 1679633994
LBN Legal business name Haines, Philip C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jul 11th, 2011 - about 15 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 1679633994 NPPES
Michigan MEDICAID 103028918
Michigan Other 383145416

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