Haase, Randall Robert

Haase, Randall Robert is an individual health care provider with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Haase, Randall Robert can be contacted via phone (931) 551-1939.

Contact Information

Primary practice address
1771 Madison St Clarksville TN 37043-4990
Phone: (931) 551-1939
Fax: (931) 221-2236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 970 Tennessee

Profile Details

NPI number 1720050594
LBN Legal business name Haase, Randall Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 29th, 2008 - about 16 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 1720050594 NPPES
Tennessee MEDICAID 3303676

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