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
Phone: (208) 893-5383
Fax: (208) 893-5386
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861449084 | NPPES |
| Idaho | Other | M7753 | IDAHO STATE MEDICAL LICEN |
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