Haak, Robert Gustav
Haak, Robert Gustav is an sole proprietor health care provider with primary practice located at 900 W Valley Rd Ste 601 , Wayne PA 19087-1825. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haak, Robert Gustav can be contacted via phone (610) 688-3433.Contact Information
Primary practice address
900 W Valley Rd Ste 601
Wayne PA 19087-1825
Phone: (610) 688-3433
Fax: (610) 688-2456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000298 | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00563700 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | I3-0001257 | Delaware |
Profile Details
| NPI number | 1629019682 |
|---|---|
| LBN Legal business name | Haak, Robert Gustav |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 8th, 2010 - about 15 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 | 1629019682 | NPPES |
| Pennsylvania | MEDICAID | 01757365 |
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