DANIEL WALTER HAECKER PA-C NPI 1588615306

NPI Information

  • NPI: 1588615306
  • Provider Name: DANIEL WALTER HAECKER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2955 PROFESSIONAL PL
    SUITE 201
    COLORADO SPRINGS, CO
    ZIP 80904
  • Phone: (719) 591-5545

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NPI Details

Daniel Walter Haecker, PA-C is a surgical physician assistant in Colorado Springs, CO. Daniel Walter Haecker, PA-C NPI is 1588615306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2955 PROFESSIONAL PL
SUITE 201
COLORADO SPRINGS, CO
ZIP 80904-139
Phone: (719) 591-5545
Fax: (719) 591-5540

The enumeration date for this NPI number is 5/15/2006 and was last updated on 2/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical594COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108581886MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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