Eric Haynes
Military Health Care Provider, Independent Duty Corpsman in Apo, AA. Individual provider (NPI-1).
NPI number1982000550
StatusActive
Last updated in NPPESNov 10, 2014
Details
- NPI
- 1982000550
- Entity type
- Individual (NPI-1)
- Name
- Eric Haynes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2014
- Last updated
- Nov 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Psc Box 20116 Camp LejeuneApo, AA 28542-0073
Phone 910-449-9965
Mailing address
Psc Box 20116Camp Lejeune, NC 28542-0073
Phone 910-449-9965
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