Individual
GINA M HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000104
OH
367H00000X
Anesthesiologist Assistant
ANT.0000058
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231022
UNISON
OH
01
—
000000515979
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2466184
—
OH
01
—
415047
WELLCARE MEDICAID
OH
01
—
7302967
AETNA
OH
01
—
P00254432
RAILROAD MEDICARE
OH
01
—
P00412642
MEDICARE RAILROAD
OH
Enumeration date
07/23/2006
Last updated
02/01/2023
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