Haen, Jackson Edgar

Haen, Jackson Edgar is an sole proprietor health care provider with primary practice located at 552 N Pine St , Laramie WY 82072-2451. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Haen, Jackson Edgar can be contacted via phone (720) 256-4685.

Contact Information

Primary practice address
552 N Pine St Laramie WY 82072-2451
Phone: (720) 256-4685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1033806021
LBN Legal business name Haen, Jackson Edgar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2023
Last updated Apr 19th, 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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