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
Phone: (317) 244-7160
Fax: (317) 244-7166
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396781357 | NPPES |
| Other | 020010156 | MEDICARE RAIL ROAD | |
| MEDICAID | 100189930 | MEDICARE RAIL ROAD | |
| Other | 020039695 | MEDICARE RAIL ROAD |
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