Provider Demographics
NPI:1881639276
Name:HAAG, JAMES W (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:HAAG
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2101 KIMBALL AVE # LL14
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5063
Mailing Address - Country:US
Mailing Address - Phone:319-272-1590
Mailing Address - Fax:319-272-1535
Practice Address - Street 1:226 BLUEBELL RD
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6328
Practice Address - Country:US
Practice Address - Phone:319-575-5600
Practice Address - Fax:319-575-5617
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2017-05-08
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Provider Licenses
StateLicense IDTaxonomies
IA899363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP10539Medicare UPIN