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Contact Information

JOHN J HASKIN JR, MD
707 N MICHIGAN ST
STE 400
SOUTH BEND, IN46601
 Phone: 574-647-8470
 Fax: 574-647-8475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JOHN J HASKIN JR · (Male)

NPI # 1154351393
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 03/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01036262A
  • IN Medicaid 100090550
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF SOUTH BEND - (Acute Care)
    615 N MICHIGAN ST
    SOUTH BEND, IN 46601
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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