Haggard, Ian Storm

Haggard, Ian Storm is an individual health care provider with primary practice located at 721 W Market St Ste A , Athens AL 35611-2456. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Haggard, Ian Storm can be contacted via phone (256) 232-3415.

Contact Information

Primary practice address
721 W Market St Ste A Athens AL 35611-2456
Fax: (256) 230-2648
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-0006969-C1 Alabama

Profile Details

NPI number 1891463063
LBN Legal business name Haggard, Ian Storm
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Sep 2nd, 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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