1891847125 NPI number — DR. VERA HAUPTFELD PHD, D(ABHI)

Table of content: DR. VERA HAUPTFELD PHD, D(ABHI) (NPI 1891847125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891847125 NPI number — DR. VERA HAUPTFELD PHD, D(ABHI)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAUPTFELD
Provider First Name:
VERA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, D(ABHI)
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891847125
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 51ST ST S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35222-3938
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-599-3347
Provider Business Mailing Address Fax Number:
205-975-6698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIV OF ALABAMA AT BIRMINGHAM HISTOCOMPATIBILITY LAB
Provider Second Line Business Practice Location Address:
619 19TH STREET S, P 290 WEST PAVILION
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35249-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-4987
Provider Business Practice Location Address Fax Number:
205-975-6698
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170100000X , with the licence number:  058 ABHI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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