Haas, Ray A

Haas, Ray A is an individual health care provider with primary practice located at 120 W Mckenzie Rd Suite H, Greenfield IN 46140-3084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haas, Ray A can be contacted via phone (317) 462-2335.

Contact Information

Primary practice address
120 W Mckenzie Rd Suite H Greenfield IN 46140-3084
Phone: (317) 462-2335
Fax: (317) 462-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01022756 Indiana

Profile Details

NPI number 1053355974
LBN Legal business name Haas, Ray A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 20th, 2011 - about 13 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 1053355974 NPPES
Indiana Other 200311740G MEDICAID GROUP NUMBER
Indiana MEDICAID 100127390A MEDICAID GROUP NUMBER
Indiana Other 000000599948 MEDICAID GROUP NUMBER

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