Haag, Mark
Haag, Mark is an individual health care provider with primary practice located at 3100 N Mountain View Dr , Prescott Valley AZ 86314-2572. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Haag, Mark can be contacted via phone (928) 759-7072.Contact Information
Primary practice address
3100 N Mountain View Dr
Prescott Valley AZ 86314-2572
Phone: (928) 759-7072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1417174541 |
|---|---|
| LBN Legal business name | Haag, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417174541 | NPPES |
| Arizona | Other | 839392 | AHCCCS IDENTIFICATION # |
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