Healthcare Provider Details

I. General information

NPI: 1225957889
Provider Name (Legal Business Name): TINA MARIE BAYNE HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 TURNER ST STE 3
AUBURN ME
04210-5093
US

IV. Provider business mailing address

600 TURNER ST STE 3
AUBURN ME
04210-5093
US

V. Phone/Fax

Practice location:
  • Phone: 207-784-0333
  • Fax: 207-560-9170
Mailing address:
  • Phone: 207-784-0333
  • Fax: 207-560-9170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL516
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: