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NPI Code Detail

MEDICARE: PHILIP ALAN HAKE P.A.

MEDICARE: PHILIP ALAN HAKE P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA568AL
2363AS0400XSurgical Physician AssistantPA.568AL
3363AM0700XMedical Physician AssistantPA-568AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730350323
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP ALAN HAKE P.A.
Provider Business Mailing Address
First Line : 3523 ROCKCLIFF CIR
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35210-3030
Country : US
Telephone Number : 205-641-5952
Fax Number :
Provider Business Practice Location Address
First Line : 2871 ACTON RD STE 100
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-716-6900
Fax Number : 205-971-5438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2008
Last Update Date : 02/02/2023

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Directions to “ PHILIP ALAN HAKE P.A.” Practice Location

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