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
Fax: (470) 956-2030
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265542625 NPPES
Georgia MEDICAID 000576045A
Georgia MEDICAID G30081

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