1225062722 NPI number — ROSEMARY HAUFF PA-C

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225062722 NPI number — ROSEMARY HAUFF PA-C

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HAUFF

Provider First Name:

ROSEMARY

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

PA-C

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1225062722

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/09/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

7341 HIGHWAY 30

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

LEHR

Provider Business Mailing Address State Name:

ND

Provider Business Mailing Address Postal Code:

58460-9111

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

701-378-2315

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1015 4TH AVE S

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

WISHEK

Provider Business Practice Location Address State Name:

ND

Provider Business Practice Location Address Postal Code:

58495-0617

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

701-452-2364

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

07/10/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 363A00000X , with the licence number:  PAC0034 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 01-23553 . This is a "MEDICA @ GACKLE" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 12045 . This is a "BSND @ KULM" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 2409700 . This is a "AMERICA'S PPO" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 01-23360 . This is a "MEDICA @ NAPOLEON" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 1008356 . This is a "PREFERRED ONE" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 5166 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 5085 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 12569 . This is a "BSND @ GACKLE" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 4652 . This is a "BSND @ WISHEK" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 01-20601 . This is a "MEDICA @ KULM" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 01-20602 . This is a "MEDICA @ WISHEK" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 5028 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 5063 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".