Haverty, Michael S

Haverty, Michael S is an sole proprietor health care provider with primary practice located at 2342 Professional Pkwy Suite 260, Santa Maria CA 93455-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haverty, Michael S can be contacted via phone (805) 348-3910.

Contact Information

Primary practice address
2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629
Phone: (805) 348-3910
Fax: (805) 348-3901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G53646 California

Profile Details

NPI number 1235114729
LBN Legal business name Haverty, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Mar 4th, 2014 - about 10 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 1235114729 NPPES
California Other G53646 BLUE CROSS
California Other 00G536460 BLUE CROSS

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