Individual
CHARLES M HABERKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2518
(206) 987-3935
Mailing address
PO BOX 50010, SEATTLE, WA 98105-1010
(206) 987-8450
(206) 987-8484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00014958
WA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD00014958
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8426314
—
WA
Enumeration date
12/12/2006
Last updated
02/02/2009
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