Haynes, Jack Phillip
Haynes, Jack Phillip is an sole proprietor health care provider with primary practice located at 36700 Woodward Ave Suite 30, Bloomfield Hills MI 48304-0926. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haynes, Jack Phillip can be contacted via phone (248) 642-4545.Contact Information
Primary practice address
36700 Woodward Ave Suite 30
Bloomfield Hills MI 48304-0926
Phone: (248) 642-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 63301001358 | Michigan |
Profile Details
| NPI number | 1801061270 |
|---|---|
| LBN Legal business name | Haynes, Jack Phillip |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 17 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.
Popular Providers
-
Huprich, Steven K
7457 Franklin Rd Suite 210, Bloomfield Hills MI 48301-3611 -
Alaimo, Carolyn Ann
36400 Woodward Ave Suite 228, Bloomfield Hills MI 48304-0911 -
Robin, Arthur Leon
1750 S Telegraph Rd Ste 101 , Bloomfield Hills MI 48302-0177 -
Plopa, Patricia Ann
4655 Pickering Rd , Bloomfield Hills MI 48301-3631 -
Schomer, Joyce R
36880 Woodward Ave Suite 205, Bloomfield Hills MI 48304-0919 -
Vanbolden, Emanuel T
42335 Woodward Ave , Bloomfield Hills MI 48304-5040 -
Parker, Mitchell S.
43902 Woodward Ave Ste 110 , Bloomfield Hills MI 48302-5021 -
Vazzano, Kristine Marie
3910 Telegraph Rd Suite 202, Bloomfield Hills MI 48302-1420