MEDICARE: WILLIAM M HAAS DBA ACADIA HEALTH CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	111NR0400X	Rehabilitation Chiropractor
3	207QA0505X	Adult Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z70302	OTHER	AZ	MEDICARE ID-PIN

General Provider Information

NPI Number	:	1669669644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM M HAAS DBA ACADIA HEALTH CLINIC

Provider Business Mailing Address
First Line	:	13260 N 94TH DR
Second Line	:	SUITE 205
City	:	PEORIA
State	:	AZ
Zip	:	85381-4240
Country	:	US
Telephone Number	:	623-583-6570
Fax Number	:	623-583-6571

Provider Business Practice Location Address
First Line	:	13260 N 94TH DR
Second Line	:	SUITE 205
City	:	PEORIA
State	:	AZ
Zip	:	85381-4240
Country	:	US
Telephone Number	:	623-583-6570
Fax Number	:	623-583-6571

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. WILLIAM HAAS
Credential	:	D.C.
Telephone Number	:	623-583-6570

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	10/30/2007

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