Haas, Theodore Vincent

Haas, Theodore Vincent is an individual health care provider with primary practice located at 1005 Pennsylvania Ave Ste 204, Ottumwa IA 52501-6414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Haas, Theodore Vincent can be contacted via phone (641) 682-8761.

Contact Information

Primary practice address
1005 Pennsylvania Ave Ste 204 Ottumwa IA 52501-6414
Phone: (641) 682-8761
Fax: (641) 682-2764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20687 Iowa

Profile Details

NPI number 1770587701
LBN Legal business name Haas, Theodore Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Nov 8th, 2007 - about 18 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 1770587701 NPPES
Iowa MEDICAID 0173138

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