Healthcare Provider Details

I. General information

NPI: 1902733629
Provider Name (Legal Business Name): CHRISTOPHER HAIAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N FOSTER ST
MITCHELL SD
57301-2999
US

IV. Provider business mailing address

2050 QUAIL ST APT 9
MITCHELL SD
57301-6608
US

V. Phone/Fax

Practice location:
  • Phone: 605-995-6373
  • Fax:
Mailing address:
  • Phone: 605-759-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1485-SLP
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: