Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Otis Haines

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619694882

William Otis Haines is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2022

Practice location Address checks out

770 E Dupont Rd
Fort Wayne, IN 46825-2056
Phone: (260) 451-8242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Northwestern Ave, West Lafayette, IN 47906-2652 — (765) 743-1554

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 45023378A (IN)

Record details

NPI number1619694882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

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