Haynes, William Mark
Haynes, William Mark is an sole proprietor health care provider with primary practice located at 912 W Main St , Homer LA 71040-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haynes, William Mark can be contacted via phone (318) 927-3571.Contact Information
Primary practice address
912 W Main St
Homer LA 71040-3328
Phone: (318) 927-3571
Fax: (318) 927-2677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 017831 | Louisiana |
Profile Details
| NPI number | 1184735151 |
|---|---|
| LBN Legal business name | Haynes, William Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 9th, 2015 - about 10 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 | 1184735151 | NPPES |
| Louisiana | MEDICAID | 1347086 |
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