Doctor Name: | MR. PAUL W HAERTIG |
NPI Number: | 1194853176 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.P. |
License Number: | MA00009348 |
Business Practice Address: | 20218 77th Ave Ne Ste. A Arlington, WA - 98223 |
Business Phone Number: | 3604353900 |
Business Fax Number: | 3604351105 |
Mailing Address: | 20218 77th Ave Ne, Ste. A ARLINGTON |
State: | WA |
Postal Code: | 98223 |
Phone Number: | 3604353900 |
Fax Number: | 3604351105 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 11/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00009348 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |