Provider Demographics
NPI:1467961300
Name:ZAFFT, MICHAEL ALLAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALLAN
Last Name:ZAFFT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 CAPEHART RD
Mailing Address - Street 2:
Mailing Address - City:OFFUTT AFB
Mailing Address - State:NE
Mailing Address - Zip Code:68113-2160
Mailing Address - Country:US
Mailing Address - Phone:402-294-6033
Mailing Address - Fax:402-294-0702
Practice Address - Street 1:2501 CAPEHART RD
Practice Address - Street 2:OFFUTT AFB - 55TH MEDICAL GROUP
Practice Address - City:OFFUTT AFB
Practice Address - State:NE
Practice Address - Zip Code:68113-1043
Practice Address - Country:US
Practice Address - Phone:402-294-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2146363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant