Haase, Gregory Alan

Haase, Gregory Alan is an sole proprietor health care provider with primary practice located at 1856 Colonial Medical Court Suite B, Virginia Beach VA 23454-3075. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Haase, Gregory Alan can be contacted via phone (757) 499-9671.

Contact Information

Primary practice address
1856 Colonial Medical Court Suite B Virginia Beach VA 23454-3075
Phone: (757) 499-9671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 0101025209 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101025209 Virginia
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X 0101025209 Virginia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0101025209 Virginia

Profile Details

NPI number 1962556951
LBN Legal business name Haase, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Dec 15th, 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 1962556951 NPPES
Virginia Other 45360 ANTHEM BCBS
Virginia Other C08384 ANTHEM BCBS
Virginia Other 27048 ANTHEM BCBS
Virginia Other 280152 ANTHEM BCBS

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