Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 47927 | KY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | T2320 | MS |
N | 207YP0228X | Pediatric Otolaryngology | 47927 | KY |
NPI | 1104137454 |
---|---|
Provider Name | Dr. Patrick James Haas |
First Address | Fort Thomas, KY 41075-4107 |
Second Address | Fort Thomas, KY 41075-4107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 30/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47927 | MEDICAL LICENSE (01) | KY |
T2320 | MEDICAL LICENSE (01) | MS |