Haynie, Robert Davis
Haynie, Robert Davis is an individual health care provider with primary practice located at 2225 Line Ave , Shreveport LA 71104-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Haynie, Robert Davis can be contacted via phone (318) 221-2225.Contact Information
Primary practice address
2225 Line Ave
Shreveport LA 71104-2128
Phone: (318) 221-2225
Fax: (318) 459-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 017143 | Louisiana |
Profile Details
| NPI number | 1174529630 |
|---|---|
| LBN Legal business name | Haynie, Robert Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174529630 | NPPES |
| Louisiana | MEDICAID | I1377741 |
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