Havens, William T

Havens, William T is an individual health care provider with primary practice located at 600 N Eagleson Ave , Bloomington IN 47405-3190. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Havens, William T can be contacted via phone (812) 855-2181.

Contact Information

Primary practice address
600 N Eagleson Ave Bloomington IN 47405-3190
Phone: (812) 855-2181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009943 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000917A Indiana

Profile Details

NPI number 1831182898
LBN Legal business name Havens, William T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jan 25th, 2024 - about 8 months 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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