Haslag, Brian

Haslag, Brian is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Haslag, Brian can be contacted via phone (573) 632-5000.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5000
Fax: (573) 634-2033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2019033221 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2019033221 Missouri

Profile Details

NPI number 1861978074
LBN Legal business name Haslag, Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2018
Last updated Jul 11th, 2024 - about 2 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 1861978074 NPPES
Missouri MEDICAID 200072135

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