Haines, Jeffrey

Haines, Jeffrey is an individual health care provider with primary practice located at 400 W 7Th St , Frederick MD 21701-4506. 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, Jeffrey can be contacted via phone (240) 566-3500.

Contact Information

Primary practice address
400 W 7Th St Frederick MD 21701-4506
Phone: (240) 566-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003197 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002154 Virginia

Profile Details

NPI number 1790736908
LBN Legal business name Haines, Jeffrey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 22nd, 2008 - about 16 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 1790736908 NPPES
Virginia Other P00272236 RAILROAD MEDICARE

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