Erica Lee Haake
Obstetrician & Gynecologist Obstetrician
2444 W Faidley Ave
Grand Island
, Nebraska 68803-4327
Erica Lee Haake
Obstetrician & Gynecologist Obstetrician
2444 W Faidley Ave
Grand Island
, Nebraska 68803-4327
(308) 385-0796
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About
Features
Specialties
- Obstetrician & Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Erica Lee Haake
- 2444 W Faidley Ave P O Box 550
- Grand Island, NE
- Zip : 68803-4327
- Fax : (308) 385-0796
- Phone : (308) 382-1100
Second Address
- Erica Lee Haake
- 2444 W Faidley Ave
- Grand Island, NE
- Zip : 68803-4327
- Fax : (308) 385-0796
- Phone : (308) 382-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 25132 | OK |
| Y | 207VX0000X | Obstetrician | 25657 | NE |
National Provider Identifier
| NPI | 1033264585 |
|---|---|
| Provider Name | Erica Lee Haake |
| First Address | Grand Island, NE 68803-4327 |
| Second Address | Grand Island, NE 68803-4327 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 11/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 47017633016 | (05) | NE |
| CO4245 | RR MEDICARE (01) | NE |
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.