Haney, Paul Thomas

Haney, Paul Thomas is an individual health care provider with primary practice located at 1000 Provident Dr Ste C , Warsaw IN 46580-3255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haney, Paul Thomas can be contacted via phone (574) 267-8728.

Contact Information

Primary practice address
1000 Provident Dr Ste C Warsaw IN 46580-3255
Phone: (574) 267-8728
Fax: (574) 269-3470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01051218IN Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01051218A Indiana

Profile Details

NPI number 1649376542
LBN Legal business name Haney, Paul Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 20th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649376542 NPPES
Indiana MEDICAID 200231390
Indiana MEDICAID 200231390B

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