Haynes, Jeffrey Allan
Haynes, Jeffrey Allan is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Ste 100 , Las Vegas NV 89121-3609. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Haynes, Jeffrey Allan can be contacted via phone (702) 731-1616.Contact Information
Primary practice address
2800 E Desert Inn Rd Ste 100
Las Vegas NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA0374 | Nevada |
Profile Details
| NPI number | 1568706539 |
|---|---|
| LBN Legal business name | Haynes, Jeffrey Allan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568706539 | NPPES |
| Nevada | MEDICAID | 1568706539 |
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