Provider Demographics
NPI:1306321617
Name:HALLAUER, CALEB JOHN (PHD)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:JOHN
Last Name:HALLAUER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 SCOTT RD
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9419
Mailing Address - Country:US
Mailing Address - Phone:567-218-0185
Mailing Address - Fax:
Practice Address - Street 1:615 KINGSBURY ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1865
Practice Address - Country:US
Practice Address - Phone:567-218-0185
Practice Address - Fax:419-930-6721
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program