Haynes, Tina S
Haynes, Tina S is an individual health care provider with primary practice located at 6837 W 37Th Street North Bldg 1, Wichita KS 67205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haynes, Tina S can be contacted via phone (316) 773-3100.Contact Information
Primary practice address
6837 W 37Th Street North Bldg 1
Wichita KS 67205
Phone: (316) 773-3100
Fax: (316) 773-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-30261 | Kansas |
Profile Details
| NPI number | 1275538613 |
|---|---|
| LBN Legal business name | Haynes, Tina S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | May 13th, 2016 - about 9 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 | 1275538613 | NPPES |
| Kansas | Other | 04-30261 | KANSAS LICENSE NUMBER |
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