NPI 1043986789

Terry Haugen

Practitioner Meals Provider Etna, OH

Practice location

Address: 122 Deer Path CT, Etna, OH 43062-6004
Phone: (614) 406-4627

Registered specialties (2)

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

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Lodging Provider

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1043986789
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2021
Record last updated: 23 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.