Provider Demographics
NPI:1629393111
Name:HAASE, SYLVIA (CNIM)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:HAASE
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10847 MARCLIF RD
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7707
Mailing Address - Country:US
Mailing Address - Phone:720-635-6284
Mailing Address - Fax:
Practice Address - Street 1:SPINE AND TOTAL JOINT CENTER
Practice Address - Street 2:10101 RIDGEGATE PKWY
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124
Practice Address - Country:US
Practice Address - Phone:720-635-6284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2249246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist