Hines, Anne T

Hines, Anne T is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Suite 102, Fort Wayne IN 46804-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hines, Anne T can be contacted via phone (260) 436-2424.

Contact Information

Primary practice address
7910 W Jefferson Blvd Suite 102 Fort Wayne IN 46804-4159
Phone: (260) 436-2424
Fax: (260) 436-2922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000159A Indiana

Profile Details

NPI number 1790787539
LBN Legal business name Hines, Anne T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 23rd, 2020 - about 4 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 1790787539 NPPES
Indiana Other 970014263 RR MEDICARE

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