Haag, Brian W

Haag, Brian W is an individual health care provider with primary practice located at 6620 Parkdale Pl Suite N, Indianapolis IN 46254-5620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haag, Brian W can be contacted via phone (317) 244-7160.

Contact Information

Primary practice address
6620 Parkdale Pl Suite N Indianapolis IN 46254-5620
Fax: (317) 244-7166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01028599A Indiana

Profile Details

NPI number 1396781357
LBN Legal business name Haag, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 4th, 2015 - about 11 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 1396781357 NPPES
Other 020010156 MEDICARE RAIL ROAD
MEDICAID 100189930 MEDICARE RAIL ROAD
Other 020039695 MEDICARE RAIL ROAD

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