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Contact Information

ZACHARY M HAYNES
735 W ANIMAS ST
FARMINGTON, NM87401-5616
 Phone: 505-609-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ZACHARY M HAYNES · (Male)

NPI Number 1205411261
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2021
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2023-0030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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