Provider Demographics
NPI:1154450385
Name:HAIN, ROMAINE (MD)
Entity type:Individual
Prefix:DR
First Name:ROMAINE
Middle Name:
Last Name:HAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 MONTCLAIR RD 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1212
Mailing Address - Country:US
Mailing Address - Phone:205-595-4555
Mailing Address - Fax:205-592-3539
Practice Address - Street 1:940 MONTCLAIR RD 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1212
Practice Address - Country:US
Practice Address - Phone:205-595-4555
Practice Address - Fax:205-592-3539
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000175092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051536503OtherBLUE CROSS BLUE SHIELD
AL330400638Medicaid