Haynes, Stacy Jeanene
Haynes, Stacy Jeanene is an sole proprietor health care provider with primary practice located at 3825 Lorna Rd Suite 240, Birmingham AL 35244-3005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Haynes, Stacy Jeanene can be contacted via phone (256) 831-8100.Contact Information
Primary practice address
3825 Lorna Rd Suite 240
Birmingham AL 35244-3005
Phone: (256) 831-8100
Fax: (256) 831-8128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 15551 | Alabama |
Profile Details
| NPI number | 1952468860 |
|---|---|
| LBN Legal business name | Haynes, Stacy Jeanene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 17th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952468860 | NPPES |
| Alabama | Other | 051007669 | BCBS |
| Alabama | MEDICAID | 000089332 | BCBS |
| Alabama | Other | 051007695 | BCBS |
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