Haynes, Gwendolyn Elizabeth
Haynes, Gwendolyn Elizabeth is an individual health care provider with primary practice located at 419 30Th Street ,Suite 2 , Oakland CA 94609. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Haynes, Gwendolyn Elizabeth can be contacted via phone (510) 775-2229.Contact Information
Primary practice address
419 30Th Street ,Suite 2
Oakland CA 94609
Phone: (510) 775-2229
Fax: (510) 590-9938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 1736 | California |
Profile Details
| NPI number | 1265524755 |
|---|---|
| LBN Legal business name | Haynes, Gwendolyn Elizabeth |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Nov 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265524755 | NPPES |
| California | Other | 579100 | NURSE PRACTITIONER |
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