Haake, Robert John

Haake, Robert John is an sole proprietor health care provider with primary practice located at 500 E Shore Dr Suite 100, Eagle ID 83616-6908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haake, Robert John can be contacted via phone (208) 995-2802.

Contact Information

Primary practice address
500 E Shore Dr Suite 100 Eagle ID 83616-6908
Phone: (208) 995-2802
Fax: (208) 995-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-0520 Idaho

Profile Details

NPI number 1295747046
LBN Legal business name Haake, Robert John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 16th, 2013 - about 13 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 1295747046 NPPES
Illinois Other P00155781 RAILROAD MEDICARE

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