Robert Charles Haack in Grand Rapids - General Practice

Robert Charles Haack - NPI 1518946755

Robert Charles Haack is a General Practice in Grand Rapids, Michigan. Robert Charles Haack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Charles Haack is 1518946755. The last update date is 2016-08-23.

Robert Charles Haack's current location address is 6809 Cascade Rd Se Ste F, Grand Rapids, Michigan. You can contact this provider via phone number 6169429040 and fax number 6168379705. The mailing address for Robert Charles Haack is 6809 Cascade Rd Se Ste F, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Charles Haack
Address 6809 Cascade Rd Se Ste F, Grand Rapids, Michigan
Phone Number 6169429040
Fax Number 6168379705
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1518946755
Provider Enumeration Date 2006-01-16
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 6809 Cascade Rd Se Ste F
City Grand Rapids
State Michigan (MI)
Post Code 495466895
Phone Number 6169429040
Fax Number 6168379705

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901010428
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D104280 BLUE CROSS / BLUE SHIELD

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FAQs about Robert Charles Haack

What is the unique identifier code issued to Robert Charles Haack by the Centers for Medicare & Medicaid Services (CMS)?

The Robert Charles Haack has been assigned the NPI (National Provider Identifier) 1518946755. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Robert Charles Haack's facilities are geographically located?

The facilities of Robert Charles Haack are physically situated at the following location: 6809 Cascade Rd Se Ste F, Grand Rapids, MI, 495466895.

What is Robert Charles Haack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Charles Haack is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Robert Charles Haack receive its 1518946755 assignment from the Centers for Medicare & Medicaid Services?

The Robert Charles Haack was assigned its 1518946755 on 2006-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Robert Charles Haack most recently updated or revised?

The information pertaining to Robert Charles Haack, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-23.

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