MRS. GINA LEE HABERL


Address: 108 Evergreen Ct, Waterloo, IL 62298-1611
Phone: 6189398464

MRS. GINA LEE HABERL (NPI# 1982866042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982866042
Entity Type Individual
Full Name MRS. GINA LEE HABERL
Practice Address 108 Evergreen Ct
Waterloo
IL 62298-1611
Practice Telephone 6189398464
Mailing Telephone 6189398464
Enumeration Date 2008-06-30
Last Update Date 2008-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 108 EVERGREEN CT
City WATERLOO
State IL
Zip Code 62298-1611

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1710091251 Gregory L Hoekstra Specialist 1015 S Hackett Rd, Waterloo, IA 50701-3500 2006-08-19
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1346899630 Jeremy Gantz Morse Specialist 815 W Buena Ave, Chicago, IL 60613-1694 2019-09-09
1619539632 Benjamin Mendoza Specialist 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 2019-06-29
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Competitor

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City WATERLOO
Zip Code 62298

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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