Haag, Brian Peter
Haag, Brian Peter is an sole proprietor health care provider with primary practice located at 2405 Ingersoll Ave , Des Moines IA 50312-5233. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haag, Brian Peter can be contacted via phone (515) 244-2338.Contact Information
Primary practice address
2405 Ingersoll Ave
Des Moines IA 50312-5233
Phone: (515) 244-2338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | IA1951 | Iowa |
Profile Details
| NPI number | 1992853139 |
|---|---|
| LBN Legal business name | Haag, Brian Peter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992853139 | NPPES |
| Iowa | MEDICAID | 0077198 |
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