Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-032550 | OH |
NPI | 1548288848 |
---|---|
Provider Name | John R Haaga |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 25/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221193 | UNISON (01) | OH |
000000503611 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
0413949 | (05) | OH |
1025661190001 | (05) | PA |
4007333 | AETNA (01) | OH |
743252 | BUCKEYE (01) | OH |
C02865 | (02) | |
P00358795 | RAILROAD MEDICARE (01) | OH |