Hayward, Jonathan R

Hayward, Jonathan R is an individual health care provider with primary practice located at 3515 Murray St , Marinette WI 54143-3367. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hayward, Jonathan R can be contacted via phone (715) 732-0699.

Contact Information

Primary practice address
3515 Murray St Marinette WI 54143-3367
Phone: (715) 732-0699
Fax: (715) 732-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1593-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1593023 Wisconsin

Profile Details

NPI number 1851334395
LBN Legal business name Hayward, Jonathan R
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 18th, 2021 - about 5 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 1851334395 NPPES
Wisconsin MEDICAID 41946800
Wisconsin Other 1593-023

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