Haack, Kathryn Ann

Haack, Kathryn Ann is an individual health care provider with primary practice located at 2720 Stone Park Blvd Suite 110, Sioux City IA 51102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Haack, Kathryn Ann can be contacted via phone (712) 239-4702.

Contact Information

Primary practice address
2720 Stone Park Blvd Suite 110 Sioux City IA 51102
Phone: (712) 239-4702
Fax: (712) 239-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A-055923 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A055923 Iowa

Profile Details

NPI number 1225118078
LBN Legal business name Haack, Kathryn Ann
Credentials ARNP - FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 6th, 2011 - about 14 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 1225118078 NPPES
Iowa MEDICAID 0092080

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