Haenn, Mindy Susan

Haenn, Mindy Susan is an individual health care provider with primary practice located at 3 Cooper Plz Suite 411, Camden NJ 08103-1438. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Neurological Surgery. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Haenn, Mindy Susan can be contacted via phone (856) 342-3113.

Contact Information

Primary practice address
3 Cooper Plz Suite 411 Camden NJ 08103-1438
Phone: (856) 342-3113
Fax: (856) 968-8388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C5-0000363 Delaware
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X C5-0000363 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00161700 New Jersey

Profile Details

NPI number 1740256965
LBN Legal business name Haenn, Mindy Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 10th, 2011 - about 13 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 1740256965 NPPES
Other Q41476 BLUE SHIELD OF DE
Other 2935112 BLUE SHIELD OF DE
MEDICAID 0001001202 BLUE SHIELD OF DE
Other 2120316000 BLUE SHIELD OF DE
Other 2120316000 BLUE SHIELD OF DE
Other 2120316000 BLUE SHIELD OF DE

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