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Contact Information

SARAH M HAVENS, PA
11900 E 12 MILE RD
SUITE 110
WARREN, MI48093-3400
 Phone: 586-261-2600
 Fax: 586-261-2601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SARAH M HAVENS · (Female)

NPI # 1164616108
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/04/2007
Last updated 09/03/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601005040
  • MI Other 200E011770 BCBS GROUP NUMBER
  • MI Other 20-5501357-0 BCBS PIN
  • MI Other 5601005040 MICHIGAN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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