Haney, Todd W

Haney, Todd W is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Haney, Todd W can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007785A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704242509 Michigan

Profile Details

NPI number 1598198673
LBN Legal business name Haney, Todd W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 15th, 2023 - about 2 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 1598198673 NPPES
Indiana MEDICAID 300010736

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