Healthcare Provider Details

I. General information

NPI: 1144952375
Provider Name (Legal Business Name): MORGAN HAEGER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E MEDICAL LOOP
TOLEDO OH
43614-8004
US

IV. Provider business mailing address

3017 POWHATTAN PKWY
TOLEDO OH
43606-3740
US

V. Phone/Fax

Practice location:
  • Phone: 419-479-8280
  • Fax:
Mailing address:
  • Phone: 419-479-8280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95298337
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number4704265454
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: