Haeberlin, James R

Haeberlin, James R is an individual health care provider with primary practice located at 615 S Mill St , Fergus Falls MN 56537-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haeberlin, James R can be contacted via phone (218) 739-2221.

Contact Information

Primary practice address
615 S Mill St Fergus Falls MN 56537-2756
Phone: (218) 739-2221
Fax: (218) 739-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46990 Minnesota

Profile Details

NPI number 1982717567
LBN Legal business name Haeberlin, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 9th, 2007 - about 18 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 1982717567 NPPES
Minnesota Other 1041963 PREFERRED ONE NUMBER
Minnesota Other 132318 PREFERRED ONE NUMBER
Minnesota MEDICAID 091256 PREFERRED ONE NUMBER
Minnesota Other 3700042 PREFERRED ONE NUMBER
Minnesota MEDICAID 41091744413 PREFERRED ONE NUMBER
Minnesota Other 485T3HA PREFERRED ONE NUMBER
Minnesota MEDICAID 13656 PREFERRED ONE NUMBER

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