Darlene Marie Haviland in Enfield - Physician Assistant
Darlene Marie Haviland - NPI 1720067879
Darlene Marie Haviland is a Physician Assistant in Enfield, Connecticut. Darlene Marie Haviland practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darlene Marie Haviland is 1720067879. The last update date is 2007-07-09.
Darlene Marie Haviland's current location address is 113 Elm St, Enfield, Connecticut. You can contact this provider via phone number 8607412225 and fax number 8607412229. The mailing address for Darlene Marie Haviland is 113 Elm St, Enfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darlene Marie Haviland |
|---|---|
| Address | 113 Elm St, Enfield, Connecticut |
| Phone Number | 8607412225 |
| Fax Number | 8607412229 |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1720067879 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 113 Elm St |
|---|---|
| City | Enfield |
| State | Connecticut (CT) |
| Post Code | 60823700 |
| Phone Number | 8607412225 |
| Fax Number | 8607412229 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1494 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290001494CT01 | CT | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Darlene Marie Haviland?
The Darlene Marie Haviland has been issued the NPI (National Provider Identifier) 1720067879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Darlene Marie Haviland's facilities are geographically located?
The facilities of Darlene Marie Haviland are physically situated at the following location: 113 Elm St, Enfield, CT, 60823700.
What is Darlene Marie Haviland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Darlene Marie Haviland is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720067879 to Darlene Marie Haviland?
The Centers for Medicare & Medicaid Services originally issued the 1720067879 to Darlene Marie Haviland on 2006-01-16.
As of what date were the Darlene Marie Haviland's details last updated?
The information pertaining to the Darlene Marie Haviland, including its address, specialty, and other details, was most recently updated on 2007-07-09.