Provider Demographics
NPI:1457319394
Name:HAWS, STEVEN W (ATC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:W
Last Name:HAWS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13738 STANLEY DR
Mailing Address - Street 2:
Mailing Address - City:LA SALLE
Mailing Address - State:MI
Mailing Address - Zip Code:48145-9725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13738 STANLEY DR
Practice Address - Street 2:
Practice Address - City:LA SALLE
Practice Address - State:MI
Practice Address - Zip Code:48145-9725
Practice Address - Country:US
Practice Address - Phone:313-956-9339
Practice Address - Fax:313-956-9182
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer