Haake, Gregory Kent

Haake, Gregory Kent is an individual health care provider with primary practice located at 1000 E Primrose St Ste 550 , Springfield MO 65807-5180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Haake, Gregory Kent can be contacted via phone (417) 269-4647.

Contact Information

Primary practice address
1000 E Primrose St Ste 550 Springfield MO 65807-5180
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R4N08 Missouri

Profile Details

NPI number 1780753814
LBN Legal business name Haake, Gregory Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780753814 NPPES
Missouri Other 1140004 UNITED HEALTHCARE-PATHOLO
Missouri Other 159012 UNITED HEALTHCARE-PATHOLO
Missouri Other 1559 UNITED HEALTHCARE-PATHOLO

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