Haynes, Michael
Haynes, Michael is an individual health care provider with primary practice located at 5131 E Southern Ave , Mesa AZ 85206-2799. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Haynes, Michael can be contacted via phone (602) 933-0002.Contact Information
Primary practice address
5131 E Southern Ave
Mesa AZ 85206-2799
Phone: (602) 933-0002
Fax: (602) 933-6216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 007926 | Arizona |
Profile Details
| NPI number | 1023470457 |
|---|---|
| LBN Legal business name | Haynes, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Jun 6th, 2019 - about 7 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 | 1023470457 | NPPES |
| Arizona | MEDICAID | 506791 |
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