Provider Demographics
NPI:1194062844
Name:HABEL, PAUL A (RN)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:A
Last Name:HABEL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 CEDARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-9694
Mailing Address - Country:US
Mailing Address - Phone:908-798-8097
Mailing Address - Fax:
Practice Address - Street 1:46 CEDARVILLE RD
Practice Address - Street 2:
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825-9694
Practice Address - Country:US
Practice Address - Phone:908-798-8097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11803800163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse