Matt Havens is a Medical in Bolivar, Missouri. Matt Havens practices all healthcare services and medical treatments related to Medical. The NPI Number for Matt Havens is 1992912216. The last update date is 2017-01-27.
Matt Havens's current location address is 1300 N Oakland Ave, Bolivar, Missouri. You can contact this provider via phone number 4173267676 and fax number 4173263939. The mailing address for Matt Havens is 1300 N Oakland Ave, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matt Havens |
|---|---|
| Address | 1300 N Oakland Ave, Bolivar, Missouri |
| Phone Number | 4173267676 |
| Fax Number | 4173263939 |
| Sole Proprietor | N |
| Credentials | MSW LCSW, |
NPI Number Detail
| NPI Number | 1992912216 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2017-01-27 |
Provider Mailing Address Detail
| Address | 1300 N Oakland Ave |
|---|---|
| City | Bolivar |
| State | Missouri (MO) |
| Post Code | 656133018 |
| Phone Number | 4173267676 |
| Fax Number | 4173263939 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code assigned to Matt Havens by the Centers for Medicare & Medicaid Services?
The Matt Havens has been issued the NPI (National Provider Identifier) 1992912216, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Matt Havens is located?
The Matt Havens is situated at the following address: 1300 N Oakland Ave, Bolivar, MO, 656133018.
What is Matt Havens's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matt Havens's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Matt Havens receive the assignment of its 1992912216 from the Centers for Medicare & Medicaid Services?
The Matt Havens was issued its 1992912216 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the Matt Havens's details last updated?
The information pertaining to the Matt Havens, including its address, specialty, and other details, was most recently updated on 2017-01-27.