Hafer, Shane M

Hafer, Shane M is an individual health care provider with primary practice located at 3600 Civic Center Blvd Fl 3 , Philadelphia PA 19104-4310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Hafer, Shane M can be contacted via phone (215) 662-6187.

Contact Information

Primary practice address
3600 Civic Center Blvd Fl 3 Philadelphia PA 19104-4310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP020954 Pennsylvania

Profile Details

NPI number 1629611488
LBN Legal business name Hafer, Shane M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 6 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.

Request for update

Popular Providers