Haselman, Jennifer

Haselman, Jennifer is an individual health care provider with primary practice located at 5300 Harroun Rd Suite 304, Sylvania OH 43560-2182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Haselman, Jennifer can be contacted via phone (419) 824-1100.

Contact Information

Primary practice address
5300 Harroun Rd Suite 304 Sylvania OH 43560-2182
Phone: (419) 824-1100
Fax: (419) 824-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA17566NP Ohio

Profile Details

NPI number 1255715231
LBN Legal business name Haselman, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Oct 30th, 2017 - about 9 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 1255715231 NPPES
Ohio MEDICAID 0140351

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