Havermann, Craig Allan

Havermann, Craig Allan is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Havermann, Craig Allan can be contacted via phone (319) 398-1506.

Contact Information

Primary practice address
202 10Th Street Se Cedar Rapids IA 52403-2404
Phone: (319) 398-1506
Fax: (319) 558-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 00156 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001279 Iowa

Profile Details

NPI number 1912924358
LBN Legal business name Havermann, Craig Allan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Sep 11th, 2013 - about 12 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 1912924358 NPPES
Iowa Other 00156 IOWA LICENSE, ATC
Iowa Other 960644 IOWA LICENSE, ATC
Iowa Other 089702522 IOWA LICENSE, ATC

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