Haines, Susan G

Haines, Susan G is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Haines, Susan G can be contacted via phone (937) 293-8228.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Fax: (937) 293-8229
Website:

Profile Details

NPI number 1811964356
LBN Legal business name Haines, Susan G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 23rd, 2019 - about 5 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 1811964356 NPPES
Ohio MEDICAID 0794967

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