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WILLIAM OTIS HAINES
NPI 1619694882
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since October 27, 2022
770 E DUPONT RD, FORT WAYNE, IN 46825(260) 451-8242 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Otis Haines NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM OTIS HAINES (NPI 1619694882) is an individual student in an organized health care education/training program in Fort Wayne, Indiana, licensed in Indiana (45023378A) and active in the NPI registry since October 2022. He maintains a secondary practice location in West Lafayette.

NPPES Registry Identity

NPI1619694882
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM OTIS HAINES
Location Address770 E DUPONT RDFort Wayne, IN 46825-2056
Mailing Address9433 Bobcat TrlLeo, IN 46765-9360 · (260) 437-4643
Phone(260) 451-8242
Sole ProprietorNo
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1619694882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 45023378A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
770 E DUPONT RD, Fort Wayne, IN 46825
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Secondary Practice Location 1

Location 1720 Northwestern AveWest Lafayette, IN 47906-2652 · Phone (765) 743-1554

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN ZIMMERMAN RPH
Pharmacist
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
HOOK-SUPERX LLC
Pharmacy
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
MELISSA NICOLE SMITH MSN, FNP
Nurse Practitioner (Family)
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (866) 389-2727
LAURA REED PHARMD
Pharmacist
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
MRS. JOELYN M ETGEN NP-C
Nurse Practitioner (Family)
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
MRS. MELISSA RAE ROMINE NP-C
Nurse Practitioner (Family)
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
THOMAS PATRICK CAREY PHARMD
Pharmacist
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242
RONALD D MANN PHARMD
Pharmacist
770 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 451-8242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Haines's NPI number?

The NPI number for William Haines is 1619694882. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is William Haines located?

William Haines practices at 770 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 451-8242.

What is William Haines's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Haines was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.