Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN HAACK, CCP
Active Sole ProprietorBRIAN HAACK, CCP is a Orthotic Fitter healthcare provider located in LONG BEACH, California. NPI 1073055521 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · LONG BEACH, CA
Registration Details
- NPI Number
- 1073055521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2016 (9.7183710558226 yrs)
- Last Updated
- Nov 15, 2016
- License
-
940111
- Sole Proprietor
- Yes
Practice Information
- Address
-
4638 PEPPERWOOD AVELONG BEACH, CA, 908081071Browse CA providers · Browse ZIP 90808
- Phone
- 5628226400
- Primary Specialty
-
Orthotic Fitter
242T00000X
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.