Haugen, Perry Allan

Haugen, Perry Allan is an individual health care provider with primary practice located at 940 Sylva Ln Ste G , Sonora CA 95370-5969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Haugen, Perry Allan can be contacted via phone (209) 532-0340.

Contact Information

Primary practice address
940 Sylva Ln Ste G Sonora CA 95370-5969
Phone: (209) 532-0340
Fax: (209) 532-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G85829 California

Profile Details

NPI number 1043345366
LBN Legal business name Haugen, Perry Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Apr 29th, 2015 - about 9 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 1043345366 NPPES
California MEDICAID 00G858291
California Other 1299310002
California MEDICAID 00G858290
California Other 180040947

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