Haynes, Stephanie
Haynes, Stephanie is an sole proprietor health care provider with primary practice located at 2875 W Market St Ste B , Fairlawn OH 44333-4065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haynes, Stephanie can be contacted via phone (330) 864-1916.Contact Information
Primary practice address
2875 W Market St Ste B
Fairlawn OH 44333-4065
Phone: (330) 864-1916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.020258 | Ohio |
Profile Details
| NPI number | 1962948703 |
|---|---|
| LBN Legal business name | Haynes, Stephanie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2017 |
| Last updated | Sep 3rd, 2019 - about 6 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 | 1962948703 | NPPES |
| Ohio | MEDICAID | 0205163 |
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