Habak, Philip A

Habak, Philip A is an individual health care provider with primary practice located at 1236 E Rusholme St Suite 300, Davenport IA 52803-2473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Habak, Philip A can be contacted via phone (563) 324-2992.

Contact Information

Primary practice address
1236 E Rusholme St Suite 300 Davenport IA 52803-2473
Phone: (563) 324-2992
Fax: (563) 888-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18298 Iowa

Profile Details

NPI number 1467431460
LBN Legal business name Habak, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 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 1467431460 NPPES
Iowa MEDICAID 2310102
Iowa MEDICAID 3300263004

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