Haynes, William Burch
Haynes, William Burch is an sole proprietor health care provider with primary practice located at 274 Park St Se # 1441 , Abingdon VA 24210-3312. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Haynes, William Burch can be contacted via phone (276) 971-9715.Contact Information
Primary practice address
274 Park St Se # 1441
Abingdon VA 24210-3312
Phone: (276) 971-9715
Fax: (276) 739-7926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001325 | Virginia |
Profile Details
| NPI number | 1194135129 |
|---|---|
| LBN Legal business name | Haynes, William Burch |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2014 |
| Last updated | Apr 29th, 2014 - about 11 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 | 1194135129 | NPPES |
| Virginia | MEDICAID | 5414601 |
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