Haas, Bradley Henry
Haas, Bradley Henry is an sole proprietor health care provider with primary practice located at 500 Riverview Ave , Waukesha WI 53188-3632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Haas, Bradley Henry can be contacted via phone (262) 548-7692.Contact Information
Primary practice address
500 Riverview Ave
Waukesha WI 53188-3632
Phone: (262) 548-7692
Fax: (262) 548-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12719 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3140-125 | Wisconsin |
Profile Details
| NPI number | 1164585998 |
|---|---|
| LBN Legal business name | Haas, Bradley Henry |
| Credentials | M.S. LPC, CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 24th, 2007 - about 17 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 | 1164585998 | NPPES |
| Wisconsin | MEDICAID | 39741600 |
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