Haag, Roger G

Haag, Roger G is an individual health care provider with primary practice located at 111 W Broadway , Fort Meade FL 33841. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Haag, Roger G can be contacted via phone (863) 285-8686.

Contact Information

Primary practice address
111 W Broadway Fort Meade FL 33841
Fax: (863) 285-9527
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0004144 Florida

Profile Details

NPI number 1487767810
LBN Legal business name Haag, Roger G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1487767810 NPPES
Other 350003745 PALMETTO RR MEDICARE
MEDICAID 381436000 PALMETTO RR MEDICARE

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