Provider Demographics
NPI:1629211693
Name:HAUFFE, IAN AK (LPN/EMT-P)
Entity Type:Individual
Prefix:MR
First Name:IAN
Middle Name:AK
Last Name:HAUFFE
Suffix:
Gender:M
Credentials:LPN/EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A CO. 121 CSH BOX 326
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1026 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-1307
Practice Address - Country:US
Practice Address - Phone:605-697-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP80281332146L00000X
TX216573164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic