Organization Name: | RAY A. HAAS, MD |
NPI Number: | 1932391190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE LINSLEY (INSURANCE & BILLING) |
Mailing Address: | 1471 Jason Rd Ste B Greenfield |
State: | IN US |
Postal Code: | 461401278 |
Phone Number: | 3174623488 |
Fax Number: | 3174620754 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01022756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |