Haberkamp, Thomas J

Haberkamp, Thomas J is an individual health care provider with primary practice located at 9500 Euclid Ave Desk A71, Cleveland OH 44195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Haberkamp, Thomas J can be contacted via phone (216) 444-6696.

Contact Information

Primary practice address
9500 Euclid Ave Desk A71 Cleveland OH 44195-0001
Fax: (216) 445-9409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036072778 Illinois

Profile Details

NPI number 1629064803
LBN Legal business name Haberkamp, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 14th, 2011 - about 14 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 1629064803 NPPES
Illinois Other P00160607 RAILROAD MEDICARE
Illinois Other 610797100 RAILROAD MEDICARE
Illinois MEDICAID 3113553 RAILROAD MEDICARE
Illinois Other 1627261 RAILROAD MEDICARE

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