William Otis Haines
William Otis Haines is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
Fort Wayne, INNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 720 Northwestern Ave, West Lafayette, IN 47906-2652 — (765) 743-1554
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 45023378A (IN) |
|---|
Record details
| NPI number | 1619694882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 27, 2022 |
| Last updated in NPPES | October 27, 2022 |
| Certification date | October 27, 2022 |
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