Dehaven, Janith S

Dehaven, Janith S is an individual health care provider with primary practice located at 4370 W Main Street , Dothan AL 36305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dehaven, Janith S can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main Street Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1026900 Alabama

Profile Details

NPI number 1336100270
LBN Legal business name Dehaven, Janith S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336100270 NPPES
Mississippi MEDICAID 03737502
Mississippi Other 51515737
Mississippi Other P00055593
Mississippi MEDICAID 1772445

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