Provider Demographics
NPI:1699080994
Name:HAFBERG, EINAR THOR (MD)
Entity type:Individual
Prefix:DR
First Name:EINAR
Middle Name:THOR
Last Name:HAFBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHILDREN'S WAY
Mailing Address - Street 2:DOT 10109
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:27232
Mailing Address - Country:US
Mailing Address - Phone:615-343-5323
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY # 10109
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0005
Practice Address - Country:US
Practice Address - Phone:615-343-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN556362080P0206X, 2080T0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No2080T0004XAllopathic & Osteopathic PhysiciansPediatricsPediatric Transplant Hepatology