Haines, Philip C.
Haines, Philip C. is an sole proprietor health care provider with primary practice located at 1011 Parchment Dr Se , Grand Rapids MI 49546-3664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Haines, Philip C. can be contacted via phone (616) 957-2200.Contact Information
Primary practice address
1011 Parchment Dr Se
Grand Rapids MI 49546-3664
Phone: (616) 957-2200
Fax: (616) 957-4274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301033971 | Michigan |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 4301033971 | Michigan |
Profile Details
| NPI number | 1679633994 |
|---|---|
| LBN Legal business name | Haines, Philip C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 11th, 2011 - about 13 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 | 1679633994 | NPPES |
| Michigan | MEDICAID | 103028918 | |
| Michigan | Other | 383145416 |
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