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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1598198673 | NPPES |
Indiana | MEDICAID | 300010736 |
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