Haynie, Brant Daniel

Haynie, Brant Daniel is an sole proprietor health care provider with primary practice located at 307 Boatner Rd , Eglin Afb FL 32542-1302. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Haynie, Brant Daniel can be contacted via phone (850) 883-8324.

Contact Information

Primary practice address
307 Boatner Rd Eglin Afb FL 32542-1302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5827 Alabama

Profile Details

NPI number 1134409592
LBN Legal business name Haynie, Brant Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2011
Last updated Aug 17th, 2011 - about 15 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 1134409592 NPPES
Alabama Other 5827 DENTAL LICENSE -

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