Haase, Amanda J.

Haase, Amanda J. is an individual health care provider with primary practice located at 1102 7Th Ave E , Williston ND 58801-4450. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Haase, Amanda J. can be contacted via phone (701) 572-7262.

Contact Information

Primary practice address
1102 7Th Ave E Williston ND 58801-4450
Phone: (701) 572-7262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3897 North Dakota

Profile Details

NPI number 1154441426
LBN Legal business name Haase, Amanda J.
Credentials L.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 9th, 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 1154441426 NPPES
North Dakota MEDICAID 74001

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