Haak, Mary Rebecca

Haak, Mary Rebecca is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy Ste C1400 , Avon IN 46123-7085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Haak, Mary Rebecca can be contacted via phone (317) 217-2777.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Ste C1400 Avon IN 46123-7085
Phone: (317) 217-2777
Fax: (317) 217-2775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01032115 Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01032115A Indiana

Profile Details

NPI number 1396776852
LBN Legal business name Haak, Mary Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396776852 NPPES
Indiana MEDICAID 100133690A

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