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Contact Information

DIANA L HASKINS, OD
1761 M 139
BENTON HARBOR, MI49022-6101
 Phone: 269-934-0424
 Fax: 269-934-0570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for DIANA L HASKINS · (Female)

NPI Number 1811065469
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/01/2006
Last updated 04/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046-008855
  • MI License # 4901004811
  • MI Medicaid 1811065469
Hospital affiliation(s) Not Available
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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