Individual provider · Type 1 NPI

William Otis Haines

Student in an Organized Health Care Education/Training Program · Fort Wayne, IN

NPI number 1619694882 Active

Practice location

770 E Dupont Rd
Fort Wayne, IN 46825-2056

Call (260) 451-8242 Map

Mailing address

9433 Bobcat Trl
Leo, IN 46765-9360

Other practice locations

  • 720 Northwestern Ave, West Lafayette, IN 47906-2652 · (765) 743-1554

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X45023378A (IN)

Student in an Organized Health Care Education/Training Program: 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.

8 other providers at this address

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About NPI 1619694882

William Otis Haines's National Provider Identifier is 1619694882, issued on Oct 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 27, 2022.