Alan Haussermann

LBN: Alan Haussermann
Alan Haussermann is an health care organization with primary practice located at 919 W Kirby Ave , Champaign IL 61821-5121. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Alan Haussermann can be contacted via phone (217) 359-0574, or through Haussermann, Alan W. via phone (217) 359-2500.

Contact Information

Primary practice address
919 W Kirby Ave Champaign IL 61821-5121
Phone: (217) 359-0574
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haussermann, Alan W. Doctor of Dental Surgery (DDS)
Phone: (217) 359-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1740450386
LBN Legal business name Alan Haussermann
DBA Doing business as
Authorized official Haussermann, Alan W. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740450386 NPPES
Illinois MEDICAID 1002155

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