Haake, Brandon

Haake, Brandon is an individual health care provider with primary practice located at 217 S 3Rd St , Danville KY 40422-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Haake, Brandon can be contacted via phone (859) 335-9041.

Contact Information

Primary practice address
217 S 3Rd St Danville KY 40422-1823
Phone: (859) 335-9041
Fax: (859) 335-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38865 Kentucky

Profile Details

NPI number 1740206119
LBN Legal business name Haake, Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 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 1740206119 NPPES
Ohio MEDICAID 2496553
Ohio Other 50005459
Ohio MEDICAID 64080898
Ohio Other 000000330903
Ohio Other 3000721
Ohio MEDICAID 3810004518

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