Provider Demographics
NPI:1275516049
Name:HAFKEY, MICHAEL ANTHONY (RN,BSN,DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:HAFKEY
Suffix:
Gender:M
Credentials:RN,BSN,DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-1446
Mailing Address - Country:US
Mailing Address - Phone:480-668-8780
Mailing Address - Fax:480-668-8787
Practice Address - Street 1:47 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-1446
Practice Address - Country:US
Practice Address - Phone:480-668-8780
Practice Address - Fax:480-668-8787
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC4870Medicare ID - Type UnspecifiedPROVIDER NUMBER
AZU18792Medicare UPIN