Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | 14022 | ND |
Y | 208200000X | Surgeon | MD2012-0844 | NM |
Y | 208600000X | Surgeon | MD2012-0844 | NM |
N | 2086S0122X | Plastic and Reconstructive Surgery | 14022 | ND |
NPI | 1376650218 |
---|---|
Provider Name | Dr. Karl J Hapcic |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Bismarck, ND 58501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 21/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H25084 | (02) |