Hafer, Sue Ann

Hafer, Sue Ann is an individual health care provider with primary practice located at 415 W Wackerly St Suite C, Midland MI 48640-2761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hafer, Sue Ann can be contacted via phone (989) 837-6505.

Contact Information

Primary practice address
415 W Wackerly St Suite C Midland MI 48640-2761
Phone: (989) 837-6505
Fax: (989) 835-8428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704096364 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704096364 Michigan

Profile Details

NPI number 1245286533
LBN Legal business name Hafer, Sue Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 2008 - about 16 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 1245286533 NPPES
Michigan MEDICAID 4869285-10
Michigan Other 5008762560

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