Haynes, Jenifer
Haynes, Jenifer is an individual health care provider with primary practice located at 11260 Sullivan St , Riverview FL 33578-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haynes, Jenifer can be contacted via phone (813) 689-7571.Contact Information
Primary practice address
11260 Sullivan St
Riverview FL 33578-2140
Phone: (813) 689-7571
Fax: (813) 654-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS15471 | Florida |
Profile Details
| NPI number | 1356736094 |
|---|---|
| LBN Legal business name | Haynes, Jenifer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2015 |
| Last updated | Jan 21st, 2020 - about 6 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 | 1356736094 | NPPES |
| Florida | MEDICAID | 100211600 |
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