Haen, Linda Susan

Haen, Linda Susan is an individual health care provider with primary practice located at 2641 Development Drive , Green Bay WI 54311. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Haen, Linda Susan can be contacted via phone (920) 338-6868.

Contact Information

Primary practice address
2641 Development Drive Green Bay WI 54311
Phone: (920) 338-6868
Fax: (920) 338-6869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 2066033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 74273-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 2066-033 Wisconsin

Profile Details

NPI number 1013086271
LBN Legal business name Haen, Linda Susan
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 5th, 2010 - about 14 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 1013086271 NPPES
Wisconsin MEDICAID 43977500

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