| Tamara J Haase Pllc | |
|
781 S Maple Island Rd Muskegon MI 49442-9480 | |
| (231) 740-1561 | |
| Not Available |
| Full Name | Tamara J Haase Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 781 S Maple Island Rd, Muskegon, Michigan |
| Authorized Official Name and Position | Tamara Haase (OWNER) |
| Authorized Official Contact | 2317401561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara J Haase Pllc 781 S Maple Island Rd Muskegon MI 49442-9480 Ph: (231) 740-1561 | Tamara J Haase Pllc 781 S Maple Island Rd Muskegon MI 49442-9480 Ph: (231) 740-1561 |
| NPI Number | 1588441992 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/10/2023 |
| Medicare PECOS PAC ID | 7517311251 |
|---|---|
| Medicare Enrollment ID | O20230928001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588441992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Haase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245822295 PECOS PAC ID: 3779944608 Enrollment ID: I20230725002879 |
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