Haynes, Douglas Brandt

Haynes, Douglas Brandt is an individual health care provider with primary practice located at 207 Oak Park , Mc Minnville TN 37110-1336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Haynes, Douglas Brandt can be contacted via phone (931) 473-9624.

Contact Information

Primary practice address
207 Oak Park Mc Minnville TN 37110-1336
Fax: (931) 473-7718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD10334 Tennessee

Profile Details

NPI number 1235102963
LBN Legal business name Haynes, Douglas Brandt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 13th, 2015 - about 10 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 1235102963 NPPES
Tennessee MEDICAID 3191762
Tennessee MEDICAID 3384004

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