Provider Demographics
NPI:1841009008
Name:HASKINS, JOHN PARKER I
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PARKER
Last Name:HASKINS
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5120
Mailing Address - Country:US
Mailing Address - Phone:740-255-9877
Mailing Address - Fax:
Practice Address - Street 1:3900 RHODES AVE APT 303
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-4956
Practice Address - Country:US
Practice Address - Phone:740-876-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty