Ewing Haas, Jillian Louise

Ewing Haas, Jillian Louise is an individual health care provider with primary practice located at 2315 E Moreland Blvd Westbrook Health Center, Waukesha WI 53186-2939. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ewing Haas, Jillian Louise can be contacted via phone (262) 532-5700.

Contact Information

Primary practice address
2315 E Moreland Blvd Westbrook Health Center Waukesha WI 53186-2939
Phone: (262) 532-5700
Fax: (262) 532-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56903 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56903 Wisconsin

Profile Details

NPI number 1982929410
LBN Legal business name Ewing Haas, Jillian Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2010
Last updated Aug 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982929410 NPPES
Wisconsin MEDICAID 1982929410

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