Haas, Bradley Henry

Haas, Bradley Henry is an sole proprietor health care provider with primary practice located at 500 Riverview Ave , Waukesha WI 53188-3632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Haas, Bradley Henry can be contacted via phone (262) 548-7692.

Contact Information

Primary practice address
500 Riverview Ave Waukesha WI 53188-3632
Phone: (262) 548-7692
Fax: (262) 548-7656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12719 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3140-125 Wisconsin

Profile Details

NPI number 1164585998
LBN Legal business name Haas, Bradley Henry
Credentials M.S. LPC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164585998 NPPES
Wisconsin MEDICAID 39741600

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