Hake, Philip Alan
Hake, Philip Alan is an sole proprietor health care provider with primary practice located at 2871 Acton Rd Ste 100 , Vestavia AL 35243-2560. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Hake, Philip Alan can be contacted via phone (205) 716-6900.Contact Information
Primary practice address
2871 Acton Rd Ste 100
Vestavia AL 35243-2560
Phone: (205) 716-6900
Fax: (205) 971-5438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA568 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.568 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-568 | Alabama |
Profile Details
| NPI number | 1730350323 |
|---|---|
| LBN Legal business name | Hake, Philip Alan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Feb 2nd, 2023 - about 2 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 | 1730350323 | NPPES |
| Alabama | MEDICAID | 109941 |
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