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Contact Information

TABITHA M HASS, PA-C
1412 MAIN STREET
HAWLEY, MN56549
 Phone: 218-483-3567
 Fax: 218-483-3567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TABITHA M HASS · (Female)

NPI Number 1174761084
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/30/2009
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10542
  • MN License # 1244
  • ND Medicaid 71104
Hospital affiliation(s)
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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