Individual
JASON R HADENFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
620 N DIERS AVE STE 200, GRAND ISLAND, NE 68803-4985
(308) 384-5400
(308) 384-5201
Mailing address
620 N DIERS AVE STE 200, GRAND ISLAND, NE 68803-4985
(308) 384-5400
(308) 384-5201
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
986
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225031776
NPI
NE
Enumeration date
05/28/2005
Last updated
08/04/2020
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