Haack, Matthew Ryan

Haack, Matthew Ryan is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 130 , Canton GA 30115-8017. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Haack, Matthew Ryan can be contacted via phone (678) 493-2527.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 130 Canton GA 30115-8017
Phone: (678) 493-2527
Fax: (678) 493-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5643 Nebraska
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 070192 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 070192 Georgia

Profile Details

NPI number 1811186828
LBN Legal business name Haack, Matthew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Apr 26th, 2021 - about 4 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 1811186828 NPPES
Georgia MEDICAID 003137391A

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