Haege, Dolph D
Haege, Dolph D is an individual health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Haege, Dolph D can be contacted via phone (618) 234-2120.Contact Information
Primary practice address
211 S 3Rd St
Belleville IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 222-4630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036088001 | Illinois |
Profile Details
NPI number | 1639167570 |
---|---|
LBN Legal business name | Haege, Dolph D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Jul 1st, 2008 - about 17 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 | 1639167570 | NPPES |
Illinois | MEDICAID | 0360880012 | |
Illinois | MEDICAID | 208789008 | |
Illinois | Other | P00250827 |
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