Haidak, David J
Haidak, David J is an individual health care provider with primary practice located at 8926 Woodyard Rd Ste 201, Clinton MD 20735-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Haidak, David J can be contacted via phone (301) 868-7911.Contact Information
Primary practice address
8926 Woodyard Rd Ste 201
Clinton MD 20735-4231
Phone: (301) 868-7911
Fax: (301) 868-2285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D0017605 | Maryland |
Profile Details
| NPI number | 1215933221 |
|---|---|
| LBN Legal business name | Haidak, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | May 15th, 2008 - 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 | 1215933221 | NPPES |
| District of Columbia | Other | 02810004 | BC/BS OF DC |
| District of Columbia | Other | 004052732 | BC/BS OF DC |
| District of Columbia | Other | 493216 | BC/BS OF DC |
| District of Columbia | Other | 830001307 | BC/BS OF DC |
| District of Columbia | Other | 830004072 | BC/BS OF DC |
| District of Columbia | Other | 086401 | BC/BS OF DC |
| District of Columbia | Other | 3000017 | BC/BS OF DC |
| District of Columbia | Other | 324510 | BC/BS OF DC |
| District of Columbia | Other | 481545 | BC/BS OF DC |
| District of Columbia | Other | B6480002 | BC/BS OF DC |
| District of Columbia | MEDICAID | 022118900 | BC/BS OF DC |
| District of Columbia | Other | 32300002 | BC/BS OF DC |
| District of Columbia | Other | 32300003 | BC/BS OF DC |
| District of Columbia | Other | 324510 | BC/BS OF DC |
| District of Columbia | Other | 058810 | BC/BS OF DC |
| District of Columbia | Other | 04701 | BC/BS OF DC |
| District of Columbia | MEDICAID | 20096 1700 | BC/BS OF DC |
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