Individual
MICHAEL H. HINES
Active
Individual
MICHAEL H. HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
401
MT
363AM0700X
Medical Physician Assistant
Primary
401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096093
BCBS PIN
MT
01
—
120920500
MDCD PIN
WY
01
—
4305106
MDCD PIN
MT
Enumeration date
08/31/2006
Last updated
12/03/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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