Haines, Amanda Marie
Haines, Amanda Marie is an individual health care provider with primary practice located at 122 Grant St , Niles MI 49120-2281. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Haines, Amanda Marie can be contacted via phone (269) 262-4364.Contact Information
Primary practice address
122 Grant St
Niles MI 49120-2281
Phone: (269) 262-4364
Fax: (269) 340-5981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902016264 | Michigan |
Profile Details
| NPI number | 1649743535 |
|---|---|
| LBN Legal business name | Haines, Amanda Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2019 |
| Last updated | Jan 3rd, 2019 - about 6 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 | 1649743535 | NPPES |
| Michigan | MEDICAID | 1447701008 |
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