Dr. Douglas John Haberman
General Practice Physician
126 Missouri Ave Mcxp-Ccs-Cr
Fort Leonard Wood
, Missouri 65473-8952
Dr. Douglas John Haberman
General Practice Physician
126 Missouri Ave Mcxp-Ccs-Cr
Fort Leonard Wood
, Missouri 65473-8952
(573) 596-0524
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Douglas John Haberman
- 126 Missouri Ave Mcxp-Ccs-Cr
- Fort Leonard Wood, MO
- Zip : 65473-8952
- Fax : (573) 596-0524
- Phone : (573) 596-0417
Second Address
- Dr. Douglas John Haberman
- 126 Missouri Ave Mcxp-Ccs-Cr
- Fort Leonard Wood, MO
- Zip : 65473-8952
- Fax : (573) 596-0524
- Phone : (573) 596-0417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | R3G75 | MO |
National Provider Identifier
| NPI | 1033128012 |
|---|---|
| Provider Name | Dr. Douglas John Haberman |
| First Address | Fort Leonard Wood, MO 65473-8952 |
| Second Address | Fort Leonard Wood, MO 65473-8952 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.