Haak, Richard Brainard

Haak, Richard Brainard is an individual health care provider with primary practice located at 1524 Mchenry Ave Suite 100, Modesto CA 95350-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Haak, Richard Brainard can be contacted via phone (209) 577-4444.

Contact Information

Primary practice address
1524 Mchenry Ave Suite 100 Modesto CA 95350-4500
Phone: (209) 577-4444
Fax: (209) 527-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A63026 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A63026 California

Profile Details

NPI number 1407899909
LBN Legal business name Haak, Richard Brainard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 11th, 2008 - about 16 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 1407899909 NPPES
California MEDICAID 00A630260

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