Havens, Jamie Silas

Havens, Jamie Silas is an individual health care provider with primary practice located at 123 Farmington Ave , Bristol CT 06010-4200. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Havens, Jamie Silas can be contacted via phone (860) 314-1871.

Contact Information

Primary practice address
123 Farmington Ave Bristol CT 06010-4200
Phone: (860) 314-1871
Fax: (860) 584-8425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 000414 Connecticut

Profile Details

NPI number 1548644354
LBN Legal business name Havens, Jamie Silas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2015
Last updated Jul 13th, 2015 - about 10 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 1548644354 NPPES
Connecticut MEDICAID 1598891855

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