Provider Demographics
NPI:1801040670
Name:HAASE, JOEL EVERETT (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EVERETT
Last Name:HAASE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-3327
Mailing Address - Country:US
Mailing Address - Phone:517-372-3922
Mailing Address - Fax:517-372-3956
Practice Address - Street 1:2800 N EAST ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-3327
Practice Address - Country:US
Practice Address - Phone:517-372-3922
Practice Address - Fax:517-372-3956
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor