Haab, Roger

Haab, Roger is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haab, Roger can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-079768 Illinois

Profile Details

NPI number 1386653517
LBN Legal business name Haab, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386653517 NPPES
Illinois MEDICAID 036079768
Illinois Other 008454

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