Basic Information
| Provider Information | |||||||||
| NPI: | 1174674873 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAUER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | EDWARD | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 155 SUNSET DR | ||||||||
| Address2: | |||||||||
| City: | ELYSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178247190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5706720227 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1072 MARKET ST | ||||||||
| Address2: | |||||||||
| City: | SUNBURY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178012458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702860100 | ||||||||
| FaxNumber: | 5702864176 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 06/03/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT010879L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 973934 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 02231601 | 01 | PA | KHPC-CAPITAL | OTHER | 537774 | 01 | PA | HEATLH AMER. - HEATLH AS. | OTHER |