Provider Demographics
NPI:1033380597
Name:HASENBOEHLER, ERIK ANTON (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANTON
Last Name:HASENBOEHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1409
Mailing Address - Country:US
Mailing Address - Phone:814-375-6452
Mailing Address - Fax:814-375-6200
Practice Address - Street 1:123 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1409
Practice Address - Country:US
Practice Address - Phone:814-375-6452
Practice Address - Fax:814-375-6200
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD72834207XX0801X
PAMD475051207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma