Haines, Gerard Joseph
Haines, Gerard Joseph is an individual health care provider with primary practice located at 12100 Black Swan Drive Suite 201, Lewes DE 19958-4988. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haines, Gerard Joseph can be contacted via phone (302) 644-3311.Contact Information
Primary practice address
12100 Black Swan Drive Suite 201
Lewes DE 19958-4988
Phone: (302) 644-3311
Fax: (302) 644-3300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C50000346 | Delaware |
Profile Details
NPI number | 1326099250 |
---|---|
LBN Legal business name | Haines, Gerard Joseph |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jan 23rd, 2020 - about 4 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 | 1326099250 | NPPES |
Delaware | MEDICAID | 1000017128 | |
Delaware | Other | 1184681488 |
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