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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598746513 | NPPES |
Wisconsin | MEDICAID | 1598746513 | |
Wisconsin | MEDICAID | 42872100 |
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