Hake, Ronald

Hake, Ronald is an individual health care provider with primary practice located at 1909 N Morton Ave , Morton IL 61550-1426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hake, Ronald can be contacted via phone (309) 263-9124.

Contact Information

Primary practice address
1909 N Morton Ave Morton IL 61550-1426
Phone: (309) 263-9124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1518971977
LBN Legal business name Hake, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518971977 NPPES
Illinois Other 008409 HEALTH ALLIANCE
Illinois Other 475091 HEALTH ALLIANCE
Illinois Other IL0173 HEALTH ALLIANCE
Illinois MEDICAID 0360552551 HEALTH ALLIANCE
Illinois Other 7215059 HEALTH ALLIANCE

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