Haynes, Stacy Jeanene

Haynes, Stacy Jeanene is an sole proprietor health care provider with primary practice located at 3825 Lorna Rd Suite 240, Birmingham AL 35244-3005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Haynes, Stacy Jeanene can be contacted via phone (256) 831-8100.

Contact Information

Primary practice address
3825 Lorna Rd Suite 240 Birmingham AL 35244-3005
Phone: (256) 831-8100
Fax: (256) 831-8128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 15551 Alabama

Profile Details

NPI number 1952468860
LBN Legal business name Haynes, Stacy Jeanene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 17th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952468860 NPPES
Alabama Other 051007669 BCBS
Alabama MEDICAID 000089332 BCBS
Alabama Other 051007695 BCBS

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