Daniel Hafenrichter
Vascular Surgeon
3023 N Ballas Rd Suite 210d
Saint Louis
, Missouri 63131-2330
Daniel Hafenrichter
Vascular Surgeon
3023 N Ballas Rd Suite 210d
Saint Louis
, Missouri 63131-2330
(314) 569-7135
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Daniel Hafenrichter
- Po Box 790056
- Saint Louis, MO
- Zip : 63179-0056
- Fax : (314) 569-7135
- Phone : (314) 989-0300
Second Address
- Daniel Hafenrichter
- 3023 N Ballas Rd Suite 210d
- Saint Louis, MO
- Zip : 63131-2330
- Fax : (314) 993-8398
- Phone : (314) 993-9229
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 103467 | MO |
National Provider Identifier
| NPI | 1063483139 |
|---|---|
| Provider Name | Daniel Hafenrichter |
| First Address | Saint Louis, MO 63179-0056 |
| Second Address | Saint Louis, MO 63131-2330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 27/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G48525 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.