Healthcare Provider Details

I. General information

NPI: 1710042841
Provider Name (Legal Business Name): HAINGE FOOT & ANKLE CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 N UNION BLVD STE 320
COLORADO SPRINGS CO
80907-4916
US

IV. Provider business mailing address

3920 N UNION BLVD STE 320
COLORADO SPGS CO
80907-4916
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-2000
  • Fax: 719-574-6477
Mailing address:
  • Phone: 719-574-2000
  • Fax: 719-574-6477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number593
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number347
License Number StateCO

VIII. Authorized Official

Name: DR. FREDERICK W HAINGE
Title or Position: OWNER
Credential: DPM
Phone: 719-574-2000