Hafner, Michael Wayne

Hafner, Michael Wayne is an individual health care provider with primary practice located at 511 Windsor Dr , Stillwater OK 74074-6962. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hafner, Michael Wayne can be contacted via phone (405) 707-0900.

Contact Information

Primary practice address
511 Windsor Dr Stillwater OK 74074-6962
Phone: (405) 707-0900
Fax: (405) 707-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1771 Oklahoma

Profile Details

NPI number 1851540256
LBN Legal business name Hafner, Michael Wayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Jan 30th, 2009 - 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 1851540256 NPPES
Oklahoma Other 1771 STATE LICENSE
Oklahoma MEDICAID 200219760A STATE LICENSE

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