Haver, Kenan Edward

Haver, Kenan Edward is an individual health care provider with primary practice located at 300 Longwood Ave Division Of Respiratory Diseases, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Haver, Kenan Edward can be contacted via phone (617) 355-1900.

Contact Information

Primary practice address
300 Longwood Ave Division Of Respiratory Diseases Boston MA 02115-5724
Fax: (617) 730-0246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 59356 Massachusetts

Profile Details

NPI number 1548250228
LBN Legal business name Haver, Kenan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 16th, 2020 - about 4 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 1548250228 NPPES
Massachusetts Other 059356 TUFTS HEALTH PLAN
Massachusetts Other J10856 TUFTS HEALTH PLAN
Massachusetts MEDICAID 110049658A TUFTS HEALTH PLAN
Massachusetts Other S400170197 TUFTS HEALTH PLAN

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