Provider Demographics
NPI:1851892533
Name:MAAS, CHAD (PHARMD, BCGP)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:MAAS
Suffix:
Gender:M
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 TROON ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3389
Mailing Address - Country:US
Mailing Address - Phone:402-379-3088
Mailing Address - Fax:
Practice Address - Street 1:1718 TROON ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3389
Practice Address - Country:US
Practice Address - Phone:402-379-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist