Haberman, Abigail Lee
Haberman, Abigail Lee is an sole proprietor health care provider with primary practice located at 690 Nw Calloway Dr , Corvallis OR 97330-9598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Haberman, Abigail Lee can be contacted via phone (541) 754-2757.Contact Information
Primary practice address
690 Nw Calloway Dr
Corvallis OR 97330-9598
Phone: (541) 754-2757
Fax: (541) 754-3584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD16039 | Oregon |
Profile Details
| NPI number | 1255401063 |
|---|---|
| LBN Legal business name | Haberman, Abigail Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Sep 14th, 2021 - about 3 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 | 1255401063 | NPPES |
| Oregon | MEDICAID | 041181 |
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