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NPI Code Detail

MEDICARE: JEANNE MARIE HABERER DO

MEDICARE: JEANNE MARIE HABERER DO
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
1207Q00000XFamily Medicine PhysicianDR.0039705CO
2207Q00000XFamily Medicine Physician5101014354MI

General Provider Information

NPI Number : 1447240767
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE MARIE HABERER DO
Provider Business Mailing Address
First Line : PO BOX 130
Second Line :
City : FRUITA
State : CO
Zip : 81521-0130
Country : US
Telephone Number : 970-858-2186
Fax Number : 970-858-2208
Provider Business Practice Location Address
First Line : 401 KOKOPELLI BLVD STE 1
Second Line :
City : FRUITA
State : CO
Zip : 81521-3308
Country : US
Telephone Number : 970-858-9894
Fax Number : 970-858-1331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 10/29/2025

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Directions to “ JEANNE MARIE HABERER DO” Practice Location

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