Den Haese, Greg J

Den Haese, Greg J is an individual health care provider with primary practice located at 515 S Kings Ave Ste 3100 , Brandon FL 33511-6060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Den Haese, Greg J can be contacted via phone (813) 681-9171.

Contact Information

Primary practice address
515 S Kings Ave Ste 3100 Brandon FL 33511-6060
Fax: (813) 681-7580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0093017 Florida

Profile Details

NPI number 1558357517
LBN Legal business name Den Haese, Greg J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 23rd, 2023 - about last year

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 1558357517 NPPES
Florida MEDICAID 273026000

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