Havenar, Michael Louis

Havenar, Michael Louis is an individual health care provider with primary practice located at 11133 Dunn Rd Dept Anesthesiology, Saint Louis MO 63136-6163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Havenar, Michael Louis can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
11133 Dunn Rd Dept Anesthesiology Saint Louis MO 63136-6163
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2003001555 Missouri

Profile Details

NPI number 1770723082
LBN Legal business name Havenar, Michael Louis
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2009
Last updated Apr 25th, 2024 - about last year

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 1770723082 NPPES
Missouri MEDICAID 429217300

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