Haack, Ann M
Haack, Ann M is an individual health care provider with primary practice located at 4140 Centennial Hills Blvd Ste A, Casper WY 82609-3265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Haack, Ann M can be contacted via phone (307) 265-7205.Contact Information
Primary practice address
4140 Centennial Hills Blvd Ste A
Casper WY 82609-3265
Phone: (307) 265-7205
Fax: (307) 235-6262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 354 | Wyoming |
Profile Details
| NPI number | 1629037130 |
|---|---|
| LBN Legal business name | Haack, Ann M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 3rd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629037130 | NPPES |
| Wyoming | Other | 313835 | BCBS |
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