Haines, Walter A

Haines, Walter A is an individual health care provider with primary practice located at 149 Main St , Waterville ME 04901-6623. 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, Walter A can be contacted via phone (207) 872-1715.

Contact Information

Primary practice address
149 Main St Waterville ME 04901-6623
Phone: (207) 872-1715
Fax: (207) 872-1725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001114 Maine

Profile Details

NPI number 1629253141
LBN Legal business name Haines, Walter A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Apr 22nd, 2008 - about 17 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 1629253141 NPPES
Maine MEDICAID 432854799

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