Basic Information
| Provider Information | |||||||||
| NPI: | 1295994903 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAASE | ||||||||
| FirstName: | LOUIS | ||||||||
| MiddleName: | KARL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8101 FOAL CT | ||||||||
| Address2: | |||||||||
| City: | MINT HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282276549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3013668366 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2817 REILLY ST | ||||||||
| Address2: | |||||||||
| City: | FORT BRAGG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283109976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9109077000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2008 | ||||||||
| LastUpdateDate: | 08/23/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2011-01150 | NC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.