Haynes, John D

Haynes, John D is an individual health care provider with primary practice located at 8001 Youree Dr Suite 600, Shreveport LA 71115-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Haynes, John D can be contacted via phone (318) 212-3890.

Contact Information

Primary practice address
8001 Youree Dr Suite 600 Shreveport LA 71115-2302
Fax: (318) 212-3889
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 022275 Louisiana

Profile Details

NPI number 1578558722
LBN Legal business name Haynes, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 5th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578558722 NPPES
Louisiana MEDICAID 1494526

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