Haynes, John William

Haynes, John William is an individual health care provider with primary practice located at 508 Hulon Lane , West Columbia SC 29169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Haynes, John William can be contacted via phone (803) 791-2460.

Contact Information

Primary practice address
508 Hulon Lane West Columbia SC 29169
Fax: (803) 791-2519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11961 South Carolina

Profile Details

NPI number 1013940972
LBN Legal business name Haynes, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 21st, 2013 - about 11 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 1013940972 NPPES
South Carolina MEDICAID 011961

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