Havemann, Justin W
Havemann, Justin W is an individual health care provider with primary practice located at 19111 Detroit Rd Ste 103 , Rocky River OH 44116-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Havemann, Justin W can be contacted via phone (440) 356-9991.Contact Information
Primary practice address
19111 Detroit Rd Ste 103
Rocky River OH 44116-1740
Phone: (440) 356-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35096698 | Ohio |
Profile Details
| NPI number | 1528232741 |
|---|---|
| LBN Legal business name | Havemann, Justin W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Apr 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528232741 | NPPES |
| Ohio | MEDICAID | 3148052 |
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