Provider Demographics
NPI:1821253386
Name:HAULARD, JEAN PAUL (DPM)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:PAUL
Last Name:HAULARD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 981
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-0981
Mailing Address - Country:US
Mailing Address - Phone:712-262-0296
Mailing Address - Fax:
Practice Address - Street 1:1200 W 18TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2821
Practice Address - Country:US
Practice Address - Phone:712-262-0296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000811213E00000X
MO2011028644213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist