Haas, Jack W.

Haas, Jack W. is an individual health care provider with primary practice located at 202 Prospect Dr , Glendive MT 59330-1943. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haas, Jack W. can be contacted via phone (406) 345-3306.

Contact Information

Primary practice address
202 Prospect Dr Glendive MT 59330-1943
Phone: (406) 345-3306
Fax: (406) 345-3358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 394 Montana

Profile Details

NPI number 1790701498
LBN Legal business name Haas, Jack W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 30th, 2014 - about 12 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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