Haynie, Gary Donald

Haynie, Gary Donald is an individual health care provider with primary practice located at 4642 Amber Valley Pkwy S , Fargo ND 58104-8612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Haynie, Gary Donald can be contacted via phone (701) 277-4699.

Contact Information

Primary practice address
4642 Amber Valley Pkwy S Fargo ND 58104-8612
Phone: (701) 277-4699
Fax: (701) 277-8357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 6710 North Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36803 Minnesota

Profile Details

NPI number 1487641817
LBN Legal business name Haynie, Gary Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 17th, 2007 - about 17 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 1487641817 NPPES
North Dakota MEDICAID 11166

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