Haberman, Analisa R

Haberman, Analisa R is an individual health care provider with primary practice located at 621 S Illinois Ave Suite 100, Mason City IA 50401-5489. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haberman, Analisa R can be contacted via phone (641) 422-6900.

Contact Information

Primary practice address
621 S Illinois Ave Suite 100 Mason City IA 50401-5489
Fax: (641) 422-6909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3184 Iowa

Profile Details

NPI number 1639289655
LBN Legal business name Haberman, Analisa R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639289655 NPPES
Iowa Other 19792 WELLMARK
Iowa MEDICAID 3153460 WELLMARK

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