Haase, Tage

Haase, Tage is an individual health care provider with primary practice located at 484 Golden Autumn Way Ste 201 , Bowling Green KY 42103-6913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haase, Tage can be contacted via phone (270) 783-3307.

Contact Information

Primary practice address
484 Golden Autumn Way Ste 201 Bowling Green KY 42103-6913
Phone: (270) 783-3307
Fax: (270) 780-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38300 Kentucky

Profile Details

NPI number 1376547117
LBN Legal business name Haase, Tage
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated May 13th, 2019 - about 5 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 1376547117 NPPES
Kentucky MEDICAID 64064025

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