Havens, William

Havens, William is an individual health care provider with primary practice located at 505 S John Redditt Dr , Lufkin TX 75904-3120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Havens, William can be contacted via phone (936) 639-3036.

Contact Information

Primary practice address
505 S John Redditt Dr Lufkin TX 75904-3120
Fax: (936) 639-3064
Website:

Health care specialties

Profile Details

NPI number 1336197417
LBN Legal business name Havens, William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 20th, 2016 - about 9 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 1336197417 NPPES
Texas MEDICAID 002322804
Texas Other 86051U

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