Haynes, Luke Jason

Haynes, Luke Jason is an individual health care provider with primary practice located at 1115 Fort Worth Hwy Ste 1200 , Weatherford TX 76086. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Haynes, Luke Jason can be contacted via phone (817) 594-9200.

Contact Information

Primary practice address
1115 Fort Worth Hwy Ste 1200 Weatherford TX 76086
Phone: (817) 594-9200
Fax: (817) 594-9202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1092740 Texas

Profile Details

NPI number 1689671612
LBN Legal business name Haynes, Luke Jason
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 5th, 2018 - about 6 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 1689671612 NPPES
Texas MEDICAID 0877474-02

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