Haynes, Nathan B
Haynes, Nathan B is an individual health care provider with primary practice located at 335 Brighton Ave Suite 200, Portland ME 04102-2363. 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, Nathan B can be contacted via phone (207) 662-8600.Contact Information
Primary practice address
335 Brighton Ave Suite 200
Portland ME 04102-2363
Phone: (207) 662-8600
Fax: (207) 662-8668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA742 | Maine |
Profile Details
| NPI number | 1598755258 |
|---|---|
| LBN Legal business name | Haynes, Nathan B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Aug 14th, 2012 - about 14 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 | 1598755258 | NPPES |
| Other | 010416156 | CIGNA | |
| Other | 041374 | CIGNA | |
| Other | 100294000 | CIGNA | |
| Other | 010416156 | CIGNA | |
| MEDICAID | 261270099 | CIGNA | |
| Other | 970026451 | CIGNA | |
| Other | 0378600001 | CIGNA | |
| Other | 1044480 | CIGNA |
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