Individual
BRYAN CHRISTOPHER HAINLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01059329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903900
—
IN
05
—
3096144
—
OH
01
—
P00627728
MEDICARE ID
IN
Enumeration date
07/03/2007
Last updated
05/31/2011
Update your record
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