Hafner, Jenna Elizabeth

Hafner, Jenna Elizabeth is an individual health care provider with primary practice located at 3757 Carman Rd Ste 100 , Schenectady NY 12303-5438. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hafner, Jenna Elizabeth can be contacted via phone (518) 355-7063.

Contact Information

Primary practice address
3757 Carman Rd Ste 100 Schenectady NY 12303-5438
Phone: (518) 355-7063
Fax: (518) 357-0646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004150 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 019274-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 019274 New York

Profile Details

NPI number 1992042840
LBN Legal business name Hafner, Jenna Elizabeth
Credentials PA- C, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2013
Last updated Dec 12th, 2022 - about 4 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 1992042840 NPPES
New York MEDICAID 04313920

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