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Individual

MR. BARRY L HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 879-3636
(419) 879-4312
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA08569-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000679179
ANTHEM
OH
05
2613032
OH
01
P00277590
RAILROAD MEDICARE
OH
Enumeration date
08/04/2006
Last updated
01/30/2020
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