Individual
DR. IRVING I. HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1818 N 3RD ST, TERRE HAUTE, IN 47804-4041
(812) 478-9494
(812) 478-9393
Mailing address
1818 N 3RD ST, TERRE HAUTE, IN 47804-4041
(812) 478-9494
(812) 478-9393
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
02001435
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089341
BC/BS PROVIDER NUMBER
IN
01
—
0638910001
MEDICARE NSC
IN
05
—
200350460A
—
IN
Enumeration date
06/30/2005
Last updated
07/21/2020
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