Haynes, Jack Phillip
Haynes, Jack Phillip is an sole proprietor health care provider with primary practice located at 36700 Woodward Ave Suite 30, Bloomfield Hills MI 48304-0926. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haynes, Jack Phillip can be contacted via phone (248) 642-4545.Contact Information
Primary practice address
36700 Woodward Ave Suite 30
Bloomfield Hills MI 48304-0926
Phone: (248) 642-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 63301001358 | Michigan |
Profile Details
| NPI number | 1801061270 |
|---|---|
| LBN Legal business name | Haynes, Jack Phillip |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 18 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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