Haines, Donald W

Haines, Donald W is an sole proprietor health care provider with primary practice located at 921 Drinker Turnpike Suite 19, Coventry Township PA 18444. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Haines, Donald W can be contacted via phone (570) 842-4515.

Contact Information

Primary practice address
921 Drinker Turnpike Suite 19 Coventry Township PA 18444
Fax: (570) 842-4515
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DSO 23432L Pennsylvania

Profile Details

NPI number 1669671004
LBN Legal business name Haines, Donald W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Dec 16th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669671004 NPPES
Pennsylvania MEDICAID 0014995290001

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