Haacke-Golden, Eric J

Haacke-Golden, Eric J is an individual health care provider with primary practice located at 3400 Haydenpark Ln Ste 300 , Henrico VA 23233-7867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haacke-Golden, Eric J can be contacted via phone (804) 998-1600.

Contact Information

Primary practice address
3400 Haydenpark Ln Ste 300 Henrico VA 23233-7867
Fax: (804) 998-1601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101228662 Virginia

Profile Details

NPI number 1013904515
LBN Legal business name Haacke-Golden, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 23rd, 2024 - about 2 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 1013904515 NPPES
Other C08279 MEDICARE PTAN
MEDICAID 5640938 MEDICARE PTAN

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