Hafner, Shaun Charles

Hafner, Shaun Charles is an individual health care provider with primary practice located at 8577 Sudley Rd Suite A, Manassas VA 20110-3810. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hafner, Shaun Charles can be contacted via phone (703) 368-7166.

Contact Information

Primary practice address
8577 Sudley Rd Suite A Manassas VA 20110-3810
Phone: (703) 368-7166
Fax: (703) 368-5103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301004 Virginia

Profile Details

NPI number 1780852319
LBN Legal business name Hafner, Shaun Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2008
Last updated Nov 2nd, 2009 - about 17 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 1780852319 NPPES
Virginia Other CC5940 RAILROAD MEDICARE GROUP

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