Havens, Traci Dawn
Havens, Traci Dawn is an sole proprietor health care provider with primary practice located at 2705 Virginia Ridge Rd , Philo OH 43771-9761. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Havens, Traci Dawn can be contacted via phone (740) 455-1648.Contact Information
Primary practice address
2705 Virginia Ridge Rd
Philo OH 43771-9761
Phone: (740) 455-1648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | R2527984 | Ohio |
Profile Details
| NPI number | 1962725507 |
|---|---|
| LBN Legal business name | Havens, Traci Dawn |
| Credentials | Radiologic Technologist (RT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2010 |
| Last updated | Mar 10th, 2010 - about 14 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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