Provider Demographics
NPI:1912227844
Name:HAUCH, BETHANY ANNE (LIC AC, DVM)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANNE
Last Name:HAUCH
Suffix:
Gender:F
Credentials:LIC AC, DVM
Other - Prefix:MISS
Other - First Name:BETHANY
Other - Middle Name:ANNE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:1118 NORRIS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2030
Mailing Address - Country:US
Mailing Address - Phone:919-274-9028
Mailing Address - Fax:
Practice Address - Street 1:4801 HARGROVE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-1945
Practice Address - Country:US
Practice Address - Phone:919-636-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist