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Contact Information

H R HADDEN, DPM
2708 MCGRAW DR
BLOOMINGTON, IL61704-6012
 Phone: 309-663-2306
 Fax: 309-662-1213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for H R HADDEN · (Male)

NPI Number 1396766432
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/22/2006
Last updated 06/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016002451
  • IL Medicaid 016002451
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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