Provider Demographics
NPI:1063861052
Name:HAAS, DC
Entity Type:Individual
Prefix:
First Name:DC
Middle Name:
Last Name:HAAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3496 US HIGHWAY 2 WEST
Mailing Address - Street 2:SMITH VALLEY FIRE DEPARTMENT
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-752-3548
Mailing Address - Fax:406-752-3552
Practice Address - Street 1:3496 US HIGHWAY 2 W
Practice Address - Street 2:SMITH VALLEY FIRE DEPARTMENT
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-7313
Practice Address - Country:US
Practice Address - Phone:406-752-3548
Practice Address - Fax:406-752-3552
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic