MEDICARE: DONALD M. HABBE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	2761	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538160338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD M. HABBE M.D.

Provider Business Mailing Address
First Line	:	2805 5TH ST
Second Line	:	SUITE 210
City	:	RAPID CITY
State	:	SD
Zip	:	57701-6003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 5TH ST
Second Line	:	SUITE 210
City	:	RAPID CITY
State	:	SD
Zip	:	57701-6003
Country	:	US
Telephone Number	:	605-343-2267
Fax Number	:	605-342-0418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	01/17/2008

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Directions to “ DONALD M. HABBE M.D.” Practice Location

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