Haller, Jeffrey D
Haller, Jeffrey D is an individual health care provider with primary practice located at 27555 Farmington Rd 120 , Farmington Hills MI 48334-3376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Haller, Jeffrey D can be contacted via phone (248) 477-5608.Contact Information
Primary practice address
27555 Farmington Rd 120
Farmington Hills MI 48334-3376
Phone: (248) 477-5608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301405755 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301405755 | Michigan |
Profile Details
| NPI number | 1417935032 |
|---|---|
| LBN Legal business name | Haller, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jun 2nd, 2016 - about 8 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 | 1417935032 | NPPES |
| Michigan | Other | 110027779 | RAIL ROAD MEDICARE |
| Michigan | MEDICAID | 1959880 | RAIL ROAD MEDICARE |
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