Von Haag, Derek

Von Haag, Derek is an individual health care provider with primary practice located at 4892 N Stone Ave Suite 100, Tucson AZ 85704-5761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Von Haag, Derek can be contacted via phone (520) 396-1370.

Contact Information

Primary practice address
4892 N Stone Ave Suite 100 Tucson AZ 85704-5761
Phone: (520) 396-1370
Fax: (520) 396-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 32835 Arizona

Profile Details

NPI number 1073507026
LBN Legal business name Von Haag, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 10th, 2011 - about 14 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 1073507026 NPPES
Arizona MEDICAID 867898

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