Haynes, Addison G
Haynes, Addison G is an individual health care provider with primary practice located at 1010 S Main St Ste 200 , Tipton IN 46072-9806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haynes, Addison G can be contacted via phone (765) 675-1400.Contact Information
Primary practice address
1010 S Main St Ste 200
Tipton IN 46072-9806
Phone: (765) 675-1400
Fax: (765) 675-1401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02004638A | Indiana |
Profile Details
| NPI number | 1295080620 |
|---|---|
| LBN Legal business name | Haynes, Addison G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2012 |
| Last updated | Jan 25th, 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 | 1295080620 | NPPES |
| Indiana | MEDICAID | 201314620 | |
| Indiana | Other | 264430641 |
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