Elizabeth Christine Hauke

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Maine, NY

NPI 1043739006 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1043739006
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
556 Cherry Valley Hill Rd
Maine, NY 13802
Phone
(607) 759-9688
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

556 Cherry Valley Hill Rd
Maine, NY 13802

Mailing address

556 Cherry Valley Hill Rd
Maine, NY 13802-1224
Phone (607) 759-9688

Other providers in Maine, NY

All providers in Maine, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.