Haynes, Nathan B

Haynes, Nathan B is an individual health care provider with primary practice located at 335 Brighton Ave Suite 200, Portland ME 04102-2363. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Haynes, Nathan B can be contacted via phone (207) 662-8600.

Contact Information

Primary practice address
335 Brighton Ave Suite 200 Portland ME 04102-2363
Phone: (207) 662-8600
Fax: (207) 662-8668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA742 Maine

Profile Details

NPI number 1598755258
LBN Legal business name Haynes, Nathan B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Aug 14th, 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 1598755258 NPPES
Other 010416156 CIGNA
Other 041374 CIGNA
Other 100294000 CIGNA
Other 010416156 CIGNA
MEDICAID 261270099 CIGNA
Other 970026451 CIGNA
Other 0378600001 CIGNA
Other 1044480 CIGNA

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