Provider Demographics
NPI:1174674873
Name:HAUER, STEVEN EDWARD (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWARD
Last Name:HAUER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:ELYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17824-7190
Mailing Address - Country:US
Mailing Address - Phone:570-672-0227
Mailing Address - Fax:
Practice Address - Street 1:1072 MARKET ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-2458
Practice Address - Country:US
Practice Address - Phone:570-286-0100
Practice Address - Fax:570-286-4176
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010879L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA973934OtherHIGHMARK BLUE SHIELD
PA02231601OtherKHPC-CAPITAL
PA537774OtherHEATLH AMER. - HEATLH AS.
PA396749Medicare ID - Type UnspecifiedMEDICARE