Haynes, Marjorie Prim

Haynes, Marjorie Prim is an sole proprietor health care provider with primary practice located at 207 Fairway Dr , Rockingham NC 28379-9414. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Haynes, Marjorie Prim can be contacted via phone (910) 895-7850.

Contact Information

Primary practice address
207 Fairway Dr Rockingham NC 28379-9414
Fax: (910) 895-7850
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 847 North Carolina

Profile Details

NPI number 1437286325
LBN Legal business name Haynes, Marjorie Prim
Credentials PT,DPT, MA, PCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jun 1st, 2010 - about 15 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 1437286325 NPPES
North Carolina MEDICAID 7212694

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