Haburchak, David R.
Haburchak, David R. is an individual health care provider with primary practice located at 833 Campbell Hill St Nw Ste 250 , Marietta GA 30060-1162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Haburchak, David R. can be contacted via phone (470) 956-2020.Contact Information
Primary practice address
833 Campbell Hill St Nw Ste 250
Marietta GA 30060-1162
Phone: (470) 956-2020
Fax: (470) 956-2030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 030081 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30081 | Georgia |
Profile Details
| NPI number | 1265542625 |
|---|---|
| LBN Legal business name | Haburchak, David R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265542625 | NPPES |
| Georgia | MEDICAID | 000576045A | |
| Georgia | MEDICAID | G30081 |
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