Sarah Mckendrick Havens in Warren - Physician Assistant
Sarah Mckendrick Havens - NPI 1164616108
Sarah Mckendrick Havens is a Physician Assistant in Warren, Michigan. Sarah Mckendrick Havens practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sarah Mckendrick Havens is 1164616108. The last update date is 2010-09-03.
Sarah Mckendrick Havens's current location address is 11900 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5862612600 and fax number 5862612601. The mailing address for Sarah Mckendrick Havens is 11900 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Mckendrick Havens |
|---|---|
| Address | 11900 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5862612600 |
| Fax Number | 5862612601 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1164616108 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 11900 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933400 |
| Phone Number | 5862612600 |
| Fax Number | 5862612601 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601005040 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200E011770 | MI | BCBS GROUP NUMBER | |
| 5601005040 | MI | MICHIGAN LICENSE | |
| 20-5501357-0 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sarah Mckendrick Havens by the Centers for Medicare & Medicaid Services?
The Sarah Mckendrick Havens has been assigned the NPI (National Provider Identifier) 1164616108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Sarah Mckendrick Havens is physically located?
The Sarah Mckendrick Havens is physically situated at the following address: 11900 E 12 Mile Rd, Warren, MI, 480933400.
What is Sarah Mckendrick Havens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sarah Mckendrick Havens 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 assign the 1164616108 to Sarah Mckendrick Havens?
The Centers for Medicare & Medicaid Services assigned the 1164616108 to Sarah Mckendrick Havens on 2007-09-04.
When was the information regarding Sarah Mckendrick Havens most recently updated?
The details pertaining to the Sarah Mckendrick Havens, including its address, specialty, and other relevant information, were last refreshed on 2010-09-03.