Haack, Robert Charles

Haack, Robert Charles is an sole proprietor health care provider with primary practice located at 6809 Cascade Rd Se Ste F Suite E, Grand Rapids MI 49546-6895. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Haack, Robert Charles can be contacted via phone (616) 942-9040.

Contact Information

Primary practice address
6809 Cascade Rd Se Ste F Suite E Grand Rapids MI 49546-6895
Phone: (616) 942-9040
Fax: (616) 837-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901010428 Michigan

Profile Details

NPI number 1518946755
LBN Legal business name Haack, Robert Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Aug 23rd, 2016 - about 10 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 1518946755 NPPES
Other D104280 BLUE CROSS / BLUE SHIELD

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