| Heather A Haynes Md Llc | |
|
2265 Hayes Ave Fremont OH 43420-2632 | |
| (419) 333-8231 | |
| (419) 332-2553 |
| Full Name | Heather A Haynes Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2265 Hayes Ave, Fremont, Ohio |
| Authorized Official Name and Position | Heather Ann Haynes (PRESIDENT) |
| Authorized Official Contact | 4193338231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Haynes Md Llc 2265 Hayes Ave Fremont OH 43420-2632 Ph: (419) 333-8231 | Heather A Haynes Md Llc 2265 Hayes Ave Fremont OH 43420-2632 Ph: (419) 333-8231 |
| NPI Number | 1912199746 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912199746 | NPI | - | NPPES |
| 2770078 | Medicaid | OH | |
| 35-090126 | Other | OH | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-090126 (Ohio) | Primary |
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