Haakenstad, Alan O
Haakenstad, Alan O is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy Suite180, Everett WA 98208-6642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Haakenstad, Alan O can be contacted via phone (425) 316-5130.Contact Information
Primary practice address
12800 Bothell Everett Hwy Suite180
Everett WA 98208-6642
Phone: (425) 316-5130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00012063 | Washington |
Profile Details
| NPI number | 1659304558 |
|---|---|
| LBN Legal business name | Haakenstad, Alan O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 13th, 2015 - about 10 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 | 1659304558 | NPPES |
| Washington | MEDICAID | 8127938 |
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