Hauschild, Daniel Jeffrey

Hauschild, Daniel Jeffrey is an individual health care provider with primary practice located at 1910 Saint Joe Center Rd Suite 44, Fort Wayne IN 46825-5000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hauschild, Daniel Jeffrey can be contacted via phone (260) 471-8033.

Contact Information

Primary practice address
1910 Saint Joe Center Rd Suite 44 Fort Wayne IN 46825-5000
Phone: (260) 471-8033
Fax: (260) 471-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040781 Indiana

Profile Details

NPI number 1619928728
LBN Legal business name Hauschild, Daniel Jeffrey
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 14th, 2010 - about 14 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 1619928728 NPPES
Indiana MEDICAID 200069390A

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