person
William Otis Haines
Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana
NPI 1619694882

William Otis Haines is a Student in an Organized Health Care Education/Training Program based in Leo, IN. William Otis Haines practices in Fort Wayne, IN. The NPI Number for William Otis Haines is 1619694882 and holds a License No. 45023378A (Indiana).

The current practice location address for William Otis Haines is 770 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-451-8242.

Location: 770 E Dupont Rd, Fort Wayne, IN, 46765-9360
person
Provider Profile Details
NPI Number
1619694882
Provider Name
William Otis Haines
Credential
Provider Entity Type
Individual
Gender
Male
Address
770 E Dupont Rd, Fort Wayne, IN, 46765-9360
Phone Number
260-451-8242
Fax Number
Provider Enumeration Date
10/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
770 E Dupont Rd
City
State
Zip
46825-2056
Phone Number
260-451-8242
Fax Number
person
Provider Business Mailing Address Details
Address
770 E Dupont Rd
City
State
Zip
46825-2056
Phone Number
260-451-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
45023378A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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