Haas, Cody

Haas, Cody is an sole proprietor health care provider with primary practice located at 1047 S Wells St Ste 106 , Meridian ID 83642-7997. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Haas, Cody can be contacted via phone (208) 297-3428.

Contact Information

Primary practice address
1047 S Wells St Ste 106 Meridian ID 83642-7997
Phone: (208) 297-3428
Fax: (208) 297-3978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202201741NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 58483 Idaho

Profile Details

NPI number 1902462039
LBN Legal business name Haas, Cody
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2019
Last updated Jun 6th, 2024 - about 2 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 1902462039 NPPES
Oregon MEDICAID 500808652
Oregon MEDICAID 1902462039

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