Provider Demographics
NPI:1588047880
Name:HAAS, JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HAAS
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 1:14920 LIGHTHOUSE RD
Mailing Address - Street 2:APT 8207
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-7763
Mailing Address - Country:US
Mailing Address - Phone:402-202-7817
Mailing Address - Fax:
Practice Address - Street 1:14920 LIGHTHOUSE RD
Practice Address - Street 2:APT 8207
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-7763
Practice Address - Country:US
Practice Address - Phone:402-202-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-04
Last Update Date:2015-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11380111N00000X
NE1822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor