Individual
JENNIFER HAULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8701 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-1066
(937) 558-3338
(937) 558-3349
Mailing address
8280 YANKEE ST, CENTERVILLE, OH 45458-1806
(937) 436-4658
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
34008335
OH
207P00000X
Emergency Medicine Physician
Primary
34008335
OH
207Q00000X
Family Medicine Physician
34008335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2599013
—
OH
Enumeration date
12/28/2005
Last updated
03/17/2018
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