Haag, Burritt L.
Haag, Burritt L. is an individual health care provider with primary practice located at 2 Medical Center Dr Suite # 404, Springfield MA 01107-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haag, Burritt L. can be contacted via phone (413) 736-3163.Contact Information
Primary practice address
2 Medical Center Dr Suite # 404
Springfield MA 01107-1270
Phone: (413) 736-3163
Fax: (413) 733-0206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 218040 | Massachusetts |
Profile Details
| NPI number | 1457328015 |
|---|---|
| LBN Legal business name | Haag, Burritt L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Oct 2nd, 2019 - about 5 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 | 1457328015 | NPPES |
| Massachusetts | MEDICAID | 2024420 | |
| Massachusetts | Other | 4211687-006 | |
| Massachusetts | Other | AA609 | |
| Massachusetts | Other | J27065 | |
| Massachusetts | Other | 33159 | |
| Massachusetts | Other | 3361080 |
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