Provider Demographics
NPI:1164580874
Name:HAPPE, MARC RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:RICHARD
Last Name:HAPPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:300 SPRING CREEK LN
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-9069
Mailing Address - Country:US
Mailing Address - Phone:724-437-7677
Mailing Address - Fax:724-437-3215
Practice Address - Street 1:300 SPRING CREEK LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-9069
Practice Address - Country:US
Practice Address - Phone:724-437-7677
Practice Address - Fax:724-437-3215
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014664207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN