Haynes, Jeffrey Caleb

Haynes, Jeffrey Caleb is an individual health care provider with primary practice located at 1425 Portland Avenue , Rochester NY 14621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Haynes, Jeffrey Caleb can be contacted via phone (585) 922-4031.

Contact Information

Primary practice address
1425 Portland Avenue Rochester NY 14621
Phone: (585) 922-4031
Fax: (585) 922-2971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MT184278 Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 252834-1 New York

Profile Details

NPI number 1013073873
LBN Legal business name Haynes, Jeffrey Caleb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Dec 20th, 2012 - about 12 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 1013073873 NPPES
New York MEDICAID 03106163

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