Provider Demographics
NPI:1356532774
Name:HAUEISEN ASSOCIATES INC.
Entity type:Organization
Organization Name:HAUEISEN ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUEISEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-546-2288
Mailing Address - Street 1:106 MILFORD ST
Mailing Address - Street 2:SUITE 504A
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6953
Mailing Address - Country:US
Mailing Address - Phone:410-546-2288
Mailing Address - Fax:410-546-2339
Practice Address - Street 1:106 MILFORD ST
Practice Address - Street 2:SUITE 504A
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6953
Practice Address - Country:US
Practice Address - Phone:410-546-2288
Practice Address - Fax:410-546-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01379213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD612M981FMedicare PIN