Havens, Peter

Havens, Peter is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Infectious Disease, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Havens, Peter can be contacted via phone (414) 337-7070.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Infectious Disease Milwaukee WI 53226-4874
Fax: (414) 337-7093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 28368 Wisconsin

Profile Details

NPI number 1053365866
LBN Legal business name Havens, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 25th, 2014 - 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 1053365866 NPPES
Wisconsin MEDICAID 1053365866
Wisconsin Other 002000120C

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