IndividualActive
Andrew Haefele, PA-C
NPI 1407747371 · Medical Physician Assistant · Elyria, OH
Provider details
- NPI number
- 1407747371
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 50.009578RX (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
630 E River St
Elyria, OH 44035-5902
Phone: (440) 329-7500
Approximate (ZIP-level) locationGet directions
Mailing address
634 Eastpointe Ct
Amherst, OH 44001-3445
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.