Haas, Mark
Haas, Mark is an sole proprietor health care provider with primary practice located at 8080 Academy Rd Ne Ste C , Albuquerque NM 87111-1159. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Haas, Mark can be contacted via phone (505) 247-4164.Contact Information
Primary practice address
8080 Academy Rd Ne Ste C
Albuquerque NM 87111-1159
Phone: (505) 247-4164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 136 | New Mexico |
Profile Details
| NPI number | 1790782837 |
|---|---|
| LBN Legal business name | Haas, Mark |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 8th, 2010 - 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 | 1790782837 | NPPES |
| New Mexico | MEDICAID | 54304 | |
| New Mexico | Other | 16483 | |
| New Mexico | Other | NM005346 |
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