Provider Demographics
NPI:1174382006
Name:HAYNES, DAWN (JD)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HAYNES
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15811 OAKHILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2920
Mailing Address - Country:US
Mailing Address - Phone:216-338-9144
Mailing Address - Fax:
Practice Address - Street 1:15811 OAKHILL RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2920
Practice Address - Country:US
Practice Address - Phone:216-338-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker