Wall-Haas, Constance L
Wall-Haas, Constance L is an individual health care provider with primary practice located at 228 Billerica Rd , Chelmsford MA 01824-3604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wall-Haas, Constance L can be contacted via phone (978) 250-6000.Contact Information
Primary practice address
228 Billerica Rd
Chelmsford MA 01824-3604
Phone: (978) 250-6000
Fax: (978) 250-6335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 126600 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 126600 | Massachusetts |
Profile Details
| NPI number | 1629046644 |
|---|---|
| LBN Legal business name | Wall-Haas, Constance L |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 10th, 2011 - about 15 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 | 1629046644 | NPPES |
| Massachusetts | MEDICAID | 0359891 | |
| Massachusetts | Other | NP9996 |
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