Provider Demographics
NPI:1255480216
Name:HAFFENREFFER, WILLIAM R (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:HAFFENREFFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862
Mailing Address - Country:US
Mailing Address - Phone:603-964-1844
Mailing Address - Fax:603-964-7187
Practice Address - Street 1:18 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862
Practice Address - Country:US
Practice Address - Phone:603-964-1844
Practice Address - Fax:603-964-7187
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1591093R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1255480216OtherHARVARD PILGRIM HEALTHCARE
5245689OtherAETNA
NH0509996Y0NH01OtherBLUE CROSS
NHHARE3649Medicare ID - Type Unspecified