Ligare, Llc | |
2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 | |
(334) 377-4900 | |
(334) 377-4901 |
Full Name | Ligare, Llc |
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Speciality | Psychologist |
Location | 2431 E Glenn Ave Ste 400, Auburn, Alabama |
Authorized Official Name and Position | Jennings B Haynes (OWNER) |
Authorized Official Contact | 3343774900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ligare, Llc 2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 Ph: (334) 377-4900 | Ligare, Llc 2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 Ph: (334) 377-4900 |
NPI Number | 1730687237 |
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Provider Enumeration Date | 01/30/2018 |
Last Update Date | 01/30/2018 |
Medicare PECOS PAC ID | 2062760515 |
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Medicare Enrollment ID | O20180731003658 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730687237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1951 (Alabama) | Primary |
Provider Name | Jennings B Haynes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023354990 PECOS PAC ID: 7911226782 Enrollment ID: I20150428002053 |
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