Haacker, David S.

Haacker, David S. is an sole proprietor health care provider with primary practice located at 443 Northfield Avenue Suite 301, West Orange NJ 07052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haacker, David S. can be contacted via phone (973) 731-0203.

Contact Information

Primary practice address
443 Northfield Avenue Suite 301 West Orange NJ 07052
Phone: (973) 731-0203
Fax: (973) 731-0017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04966800 New Jersey

Profile Details

NPI number 1902879000
LBN Legal business name Haacker, David S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Oct 2nd, 2012 - about 12 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 1902879000 NPPES
New Jersey MEDICAID 2010305

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