Individual
SASHA JENKINS HABERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
2016-00779
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35. 123300
OH
207ND0101X
MOHS-Micrographic Surgery Physician
69679
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000877564
ANTHEM BLUE CROSS/BLUE SHIELD
OH
01
—
P01486806
RAILROAD MEDICARE
—
Enumeration date
04/21/2010
Last updated
04/20/2017
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