Provider Demographics
NPI:1528861614
Name:HAYNES, TORREY
Entity type:Individual
Prefix:
First Name:TORREY
Middle Name:
Last Name:HAYNES
Suffix:
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 1:6794 W FIR AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7848
Mailing Address - Country:US
Mailing Address - Phone:559-930-5240
Mailing Address - Fax:559-775-1575
Practice Address - Street 1:6794 W FIR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-7848
Practice Address - Country:US
Practice Address - Phone:559-930-5240
Practice Address - Fax:559-775-1575
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)