Haeberlein, Robert Wynne
Haeberlein, Robert Wynne is an sole proprietor health care provider with primary practice located at 700 Mount Hope Avenue Suite 601 , Bangor ME 04401-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Haeberlein, Robert Wynne can be contacted via phone (207) 942-4653.Contact Information
Primary practice address
700 Mount Hope Avenue Suite 601
Bangor ME 04401-5600
Phone: (207) 942-4653
Fax: (207) 990-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 009794 | Maine |
Profile Details
| NPI number | 1104919901 |
|---|---|
| LBN Legal business name | Haeberlein, Robert Wynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 22nd, 2009 - about 16 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 | 1104919901 | NPPES |
| Maine | MEDICAID | 110090000 |
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