Hadenfeldt, Jason R

Hadenfeldt, Jason R is an individual health care provider with primary practice located at 620 N Diers Ave Ste 200 , Grand Island NE 68803-4985. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hadenfeldt, Jason R can be contacted via phone (308) 384-5400.

Contact Information

Primary practice address
620 N Diers Ave Ste 200 Grand Island NE 68803-4985
Phone: (308) 384-5400
Fax: (308) 384-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 986 Nebraska

Profile Details

NPI number 1225031776
LBN Legal business name Hadenfeldt, Jason R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Aug 4th, 2020 - about 4 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 1225031776 NPPES
Nebraska Other 1225031776 NPI

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