Provider Demographics
NPI:1376596817
Name:DANIEL L. HASFURTHER MD, INC., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DANIEL L. HASFURTHER MD, INC., A PROFESSIONAL CORPORATION
Other - Org Name:ANESTHESIOLOGY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HASFURTHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-858-0800
Mailing Address - Street 1:59 DAMONTE RANCH PKWY # B-111
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-2996
Mailing Address - Country:US
Mailing Address - Phone:775-858-0800
Mailing Address - Fax:775-746-5243
Practice Address - Street 1:1600 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4625
Practice Address - Country:US
Practice Address - Phone:775-445-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7749207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV100625Medicare PIN