Havel, Thomas Earl

Havel, Thomas Earl is an sole proprietor health care provider with primary practice located at 2500 Grant Rd. 7025 Ech 133, Mountain View CA 94039-7025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Havel, Thomas Earl can be contacted via phone (650) 361-0646.

Contact Information

Primary practice address
2500 Grant Rd. 7025 Ech 133 Mountain View CA 94039-7025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G32044 California

Profile Details

NPI number 1871625194
LBN Legal business name Havel, Thomas Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 18 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 1871625194 NPPES
California MEDICAID 00G320440

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