Flaherty, Jennifer A

Flaherty, Jennifer A is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Flaherty, Jennifer A can be contacted via phone (612) 672-7100.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10917 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1874023 Wisconsin

Profile Details

NPI number 1598746513
LBN Legal business name Flaherty, Jennifer A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598746513 NPPES
Wisconsin MEDICAID 1598746513
Wisconsin MEDICAID 42872100

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