Haas, Mandal Brian

Haas, Mandal Brian is an sole proprietor health care provider with primary practice located at 1020 Trump Rd Nw , Carrollton OH 44615-8422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haas, Mandal Brian can be contacted via phone (330) 627-7055.

Contact Information

Primary practice address
1020 Trump Rd Nw Carrollton OH 44615-8422
Fax: (330) 627-7602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35070993H Ohio

Profile Details

NPI number 1770593006
LBN Legal business name Haas, Mandal Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 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 1770593006 NPPES
Ohio MEDICAID 2019916

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