Wall-Haas, Constance L

Wall-Haas, Constance L is an individual health care provider with primary practice located at 228 Billerica Rd , Chelmsford MA 01824-3604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wall-Haas, Constance L can be contacted via phone (978) 250-6000.

Contact Information

Primary practice address
228 Billerica Rd Chelmsford MA 01824-3604
Phone: (978) 250-6000
Fax: (978) 250-6335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 126600 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 126600 Massachusetts

Profile Details

NPI number 1629046644
LBN Legal business name Wall-Haas, Constance L
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 10th, 2011 - about 13 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 1629046644 NPPES
Massachusetts MEDICAID 0359891
Massachusetts Other NP9996

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