Haller, Mary C
Haller, Mary C is an individual health care provider with primary practice located at 500 Campus Dr , Hancock MI 49930-1569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Haller, Mary C can be contacted via phone (906) 483-1730.Contact Information
Primary practice address
500 Campus Dr
Hancock MI 49930-1569
Phone: (906) 483-1730
Fax: (906) 483-1380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MI43048076 | Michigan |
Profile Details
| NPI number | 1487607230 |
|---|---|
| LBN Legal business name | Haller, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Nov 23rd, 2009 - 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 | 1487607230 | NPPES |
| Michigan | MEDICAID | 102928716 | |
| Michigan | Other | MH048076 | |
| Michigan | Other | 0829560001 | |
| Michigan | Other | 0C16002 |
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