Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON EDGAR HAEN
Active Sole ProprietorJACKSON EDGAR HAEN is a Nutritionist healthcare provider located in LARAMIE, Wyoming. NPI 1033806021 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · LARAMIE, WY
Registration Details
- NPI Number
- 1033806021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2023 (3.1345810267196 yrs)
- Last Updated
- Apr 19, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
552 N PINE STLARAMIE, WY, 820722451Browse WY providers · Browse ZIP 82072
- Phone
- 7202564685
- Primary Specialty
-
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.