Hafer, Mary C

Hafer, Mary C is an sole proprietor health care provider with primary practice located at 2971 E Copper Point Dr Ste # 125, Meridian ID 83642-5101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hafer, Mary C can be contacted via phone (208) 893-5383.

Contact Information

Primary practice address
2971 E Copper Point Dr Ste # 125 Meridian ID 83642-5101
Fax: (208) 893-5386
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M7753 Idaho

Profile Details

NPI number 1861449084
LBN Legal business name Hafer, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1861449084 NPPES
Idaho Other M7753 IDAHO STATE MEDICAL LICEN

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