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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902879000 | NPPES |
| New Jersey | MEDICAID | 2010305 |
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