Haven, Shiloh M

Haven, Shiloh M is an individual health care provider with primary practice located at 70 Butler Street Nrhn Rehab Physician Services, Salem NH 03079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Haven, Shiloh M can be contacted via phone (603) 501-5547.

Contact Information

Primary practice address
70 Butler Street Nrhn Rehab Physician Services Salem NH 03079
Phone: (603) 501-5547
Fax: (603) 501-5650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 262793 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 080161-23 New Hampshire

Profile Details

NPI number 1548306459
LBN Legal business name Haven, Shiloh M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 24th, 2020 - about 4 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 1548306459 NPPES
Massachusetts Other NP9574 BCBS
Massachusetts MEDICAID 0712116 BCBS
Massachusetts MEDICAID 3118601 BCBS

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