National Provider Identifier Database

PAUL M HAIDAK, MD – NPI #1871612515
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

PAUL M HAIDAK, MD
105 LEDFORD MILL RD
SUITE B
TULLAHOMA, TN37388-8261
Phone: 931-841-3311
Fax: 931-841-3314
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Addiction Medicine 2083A0300X
Plastic Surgery 208200000X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for PAUL M HAIDAK

NPI Number 1871612515
Credentials MD
Entity Individual
Enumeration date 03/27/2007
Last updated 03/15/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 44645
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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