William L Haak, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Springdale, AZ
NPI 1750400651 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750400651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4960 Springhouse Dr.
Springdale, AZ 72762 - Phone
- (479) 750-2020
- Fax
- (479) 872-2441
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4960 Springhouse Dr.
Springdale, AZ 72762
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.