MEDICARE: STEVEN EDWARD HAUER PT

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	225100000X	Physical Therapist	PT010879L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	973934	OTHER	PA	HIGHMARK BLUE SHIELD
2	02231601	OTHER	PA	KHPC-CAPITAL
3	537774	OTHER	PA	HEATLH AMER. - HEATLH AS.

General Provider Information

NPI Number	:	1174674873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN EDWARD HAUER PT

Provider Business Mailing Address
First Line	:	155 SUNSET DR
Second Line	:
City	:	ELYSBURG
State	:	PA
Zip	:	17824-7190
Country	:	US
Telephone Number	:	570-672-0227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1072 MARKET ST
Second Line	:
City	:	SUNBURY
State	:	PA
Zip	:	17801-2458
Country	:	US
Telephone Number	:	570-286-0100
Fax Number	:	570-286-4176

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/03/2009

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