Habash, Jeanne L

Habash, Jeanne L is an individual health care provider with primary practice located at 1905 19Th St , Great Bend KS 67530-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Habash, Jeanne L can be contacted via phone (620) 792-5700.

Contact Information

Primary practice address
1905 19Th St Great Bend KS 67530-2502
Phone: (620) 792-5700
Fax: (620) 792-5742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500593 Kansas

Profile Details

NPI number 1376593947
LBN Legal business name Habash, Jeanne L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 8th, 2024 - about 10 months 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 1376593947 NPPES
Kansas MEDICAID 100355860B

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