Haynes, Douglas W

Haynes, Douglas W is an individual health care provider with primary practice located at 1700 Renaissance Blvd , Edmond OK 73013-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haynes, Douglas W can be contacted via phone (405) 844-4300.

Contact Information

Primary practice address
1700 Renaissance Blvd Edmond OK 73013-3022
Fax: (405) 844-4333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22513 Oklahoma

Profile Details

NPI number 1710954367
LBN Legal business name Haynes, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 14th, 2017 - about 8 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 1710954367 NPPES
Oklahoma MEDICAID 100125790A

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