Hazzard, Jennifer Johnson

Hazzard, Jennifer Johnson is an sole proprietor health care provider with primary practice located at 1606 Savannah Rd , Lewes DE 19958-1656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hazzard, Jennifer Johnson can be contacted via phone (302) 424-4141.

Contact Information

Primary practice address
1606 Savannah Rd Lewes DE 19958-1656
Phone: (302) 424-4141
Fax: (302) 422-6506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C5-0000566 Delaware

Profile Details

NPI number 1982779633
LBN Legal business name Hazzard, Jennifer Johnson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Mar 26th, 2019 - about 7 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 1982779633 NPPES
Delaware MEDICAID 1982779633
Delaware Other 1982779633
Delaware Other 51-0370286
Delaware Other 51-0370286
Delaware Other P00472436
Delaware Other 51-0370286
Delaware Other 51-0370286
Delaware Other 51-0370286

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