Haugen, Michael B

Haugen, Michael B is an sole proprietor health care provider with primary practice located at 11380 Prosperity Farms Rd Suite 119, Palm Beach Gardens FL 33410-3464. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haugen, Michael B can be contacted via phone (561) 627-1114.

Contact Information

Primary practice address
11380 Prosperity Farms Rd Suite 119 Palm Beach Gardens FL 33410-3464
Phone: (561) 627-1114
Fax: (561) 627-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 2181 Florida

Profile Details

NPI number 1902896558
LBN Legal business name Haugen, Michael B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Apr 7th, 2015 - about 10 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 1902896558 NPPES
Florida MEDICAID 078980100

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