Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 316 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 316 | NC |
NPI | 1558358333 |
---|---|
Provider Name | Dr. Richard J Hauser |
First Address | Cary, NC 27518-7429 |
Second Address | Cary, NC 27518-7429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 28/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0515473 | CIGNA (01) | NC |
0809H | BCBS (01) | NC |
2754567 | UNITED HEALTHCARE (01) | NC |
4322136 | AETNA (01) | NC |
480026533 | RAILROAD MEDICARE (01) | NC |
85133 | MEDCOST (01) | NC |
890809H | (05) | NC |
U24581 | (02) | NC |