Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0101260046 | VA |
NPI | 1396064812 |
---|---|
Provider Name | Dr. Colin Haines |
First Address | Reston, VA 20191-5300 |
Second Address | Reston, VA 20191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 22/06/2018 |