Haynes, Roy G.

Haynes, Roy G. is an individual health care provider with primary practice located at 2200 Jacobssen Dr Ste B , Normal IL 61761-5516. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Haynes, Roy G. can be contacted via phone (309) 451-1123.

Contact Information

Primary practice address
2200 Jacobssen Dr Ste B Normal IL 61761-5516
Phone: (309) 451-1123
Fax: (309) 451-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-217502 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28163503A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-001422 Illinois

Profile Details

NPI number 1174636989
LBN Legal business name Haynes, Roy G.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Dec 8th, 2023 - about 2 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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