Haller, Marla G
Haller, Marla G is an individual health care provider with primary practice located at 280 Pattonsville Rd , Jackson OH 45640-9452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haller, Marla G can be contacted via phone (740) 395-8805.Contact Information
Primary practice address
280 Pattonsville Rd
Jackson OH 45640-9452
Phone: (740) 395-8805
Fax: (740) 395-8855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OH34006023H | Ohio |
Profile Details
| NPI number | 1407951452 |
|---|---|
| LBN Legal business name | Haller, Marla G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jun 1st, 2020 - about 4 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 | 1407951452 | NPPES |
| Ohio | Other | 000000347352 | ANTHEM |
| Ohio | Other | 310917085320 | ANTHEM |
| Ohio | MEDICAID | 3810023943 | ANTHEM |
| Ohio | Other | 000000498993 | ANTHEM |
| Ohio | MEDICAID | 0994063 | ANTHEM |
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