Gregory Alan Haines in Blaine - Diagnostic Radiology

Gregory Alan Haines - NPI 1376558205

Gregory Alan Haines is a Diagnostic Radiology in Blaine, Minnesota. Gregory Alan Haines practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gregory Alan Haines is 1376558205. The last update date is 2020-04-02.

Gregory Alan Haines's current location address is 11841 Owatonna St Ne, Blaine, Minnesota. You can contact this provider via phone number 7632056555. The mailing address for Gregory Alan Haines is 11841 Owatonna St Ne, Blaine, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Alan Haines
Address 11841 Owatonna St Ne, Blaine, Minnesota
Phone Number 7632056555
Fax Number
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1376558205
Provider Enumeration Date 2006-07-29
Last Updated Date 2020-04-02

Provider Mailing Address Detail

Address 11841 Owatonna St Ne
City Blaine
State Minnesota (MN)
Post Code 554493919
Phone Number 7632056555
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 39638
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1376558205 MN DAKOTA CARE
415 MN AMERICA'S PPO
636518300 MN --
43538000 WI --
1604662 MN MEDICA
343C1HA MN BLUE COSS AND BLUE SHIELD OF M
61477HA MN BLUE CROSS AND BLUE SHIELD OF
HP25845 MN HEALTHPARTNERS
253016 MN MIDLANDS CHOICE INC
762633 IA --

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FAQs about Gregory Alan Haines

What is the unique 10-digit identifier code issued to Gregory Alan Haines by the Centers for Medicare & Medicaid Services?

The Gregory Alan Haines has been assigned the NPI (National Provider Identifier) 1376558205 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Gregory Alan Haines is physically located?

The Gregory Alan Haines is physically situated at the following address: 11841 Owatonna St Ne, Blaine, MN, 554493919.

What is Gregory Alan Haines's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gregory Alan Haines's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Gregory Alan Haines receive its 1376558205 assignment from the Centers for Medicare & Medicaid Services?

The Gregory Alan Haines was assigned its 1376558205 by the Centers for Medicare & Medicaid Services on 2006-07-29.

When was the Gregory Alan Haines's information last updated?

The Gregory Alan Haines's information was last updated on 2020-04-02.

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