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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174529630 NPPES
Louisiana MEDICAID I1377741

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