Doctor Name: | MR. GEORGE R HAYNES |
NPI Number: | 1942524459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3382 Pine Meadow Dr Se Unit 101 Kentwood, MI - 495123056 |
Business Phone Number: | 6163655108 |
Business Fax Number: | 6162147735 |
Mailing Address: | 3382 Pine Meadow Dr Se, Unit 101 KENTWOOD |
State: | MI |
Postal Code: | 495123056 |
Phone Number: | 6163655108 |
Fax Number: | 6162147735 |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |