Provider Demographics
NPI:1235162371
Name:B. B. HAINER P.C.
Entity Type:Organization
Organization Name:B. B. HAINER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOZENA
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:HAINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-647-6262
Mailing Address - Street 1:300 PARK ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-3429
Mailing Address - Country:US
Mailing Address - Phone:248-647-6262
Mailing Address - Fax:248-647-8459
Practice Address - Street 1:300 PARK ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-3429
Practice Address - Country:US
Practice Address - Phone:248-647-6262
Practice Address - Fax:248-647-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBH039081207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI137416OtherPREFERRED CHOICES
MI4883293Medicaid
MI1606354441OtherBCBSM
MI4357177OtherAETNA
1606354441OtherBCBSM
MIA73931OtherUPIN
MI207V00000XOtherTAXONOMY
MI207V00000XOtherTAXONOMY
MI4357177OtherAETNA