Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 35.135901 | OH |
Y | 2084N0402X | Child Neurologist | 35.135901 | OH |
NPI | 1154664779 |
---|---|
Provider Name | Darrah N Haffner |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 22/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0404813 | (05) | OH |
H762410 | CGS - MEDICARE (01) | OH |