Haecker, Daniel Walter

Haecker, Daniel Walter is an individual health care provider with primary practice located at 2955 Professional Pl Suite 201, Colorado Springs CO 80904-8139. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Haecker, Daniel Walter can be contacted via phone (719) 591-5545.

Contact Information

Primary practice address
2955 Professional Pl Suite 201 Colorado Springs CO 80904-8139
Phone: (719) 591-5545
Fax: (719) 591-5540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 594 Colorado

Profile Details

NPI number 1588615306
LBN Legal business name Haecker, Daniel Walter
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588615306 NPPES
Colorado MEDICAID 08581886

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