Haynes, Scotty Jack

Haynes, Scotty Jack is an individual health care provider with primary practice located at 1113 Murfreesboro Rd Suite 106, #343, Franklin TN 37064-1306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Haynes, Scotty Jack can be contacted via phone (615) 550-7127.

Contact Information

Primary practice address
1113 Murfreesboro Rd Suite 106, #343 Franklin TN 37064-1306
Phone: (615) 550-7127
Fax: (855) 291-1894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD45839 Tennessee

Profile Details

NPI number 1619171709
LBN Legal business name Haynes, Scotty Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Nov 11th, 2015 - about 10 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 1619171709 NPPES
Other BP1-0018027 INSTITUTIONAL PERMIT
MEDICAID 1520725 INSTITUTIONAL PERMIT
Other P00935972 INSTITUTIONAL PERMIT

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