Haak, Logan Milad
Haak, Logan Milad is an individual health care provider with primary practice located at 1855 1St Ave Ste 200B, San Diego CA 92101-2685. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Haak, Logan Milad can be contacted via phone (858) 863-7597.Contact Information
Primary practice address
1855 1St Ave Ste 200B
San Diego CA 92101-2685
Phone: (858) 863-7597
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 49767 | Arizona |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 110896 | California |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 49767 | Arizona |
Profile Details
NPI number | 1952565491 |
---|---|
LBN Legal business name | Haak, Logan Milad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2008 |
Last updated | May 21st, 2020 - about 4 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 | 1952565491 | NPPES |
Arizona | MEDICAID | 977504 |
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