Haynes, Gertrude Grace
Haynes, Gertrude Grace is an individual health care provider with primary practice located at 2109 S Highway 69 , Wagoner OK 74467-9310. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Haynes, Gertrude Grace can be contacted via phone (918) 708-3006.Contact Information
Primary practice address
2109 S Highway 69
Wagoner OK 74467-9310
Phone: (918) 708-3006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1366918914 |
|---|---|
| LBN Legal business name | Haynes, Gertrude Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2018 |
| Last updated | Oct 22nd, 2018 - about 8 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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