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
Fax: (316) 773-3777
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1275538613 NPPES
Kansas Other 04-30261 KANSAS LICENSE NUMBER

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