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Contact Information

KEITH S HAVEMEYER, PT, OCS, FAAOMPT
550 CHASE AVE
WATERBURY, CT06704-1904
 Phone: 860-250-4369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEITH S HAVEMEYER · (Male)

NPI Number 1720201932
Status Active
Credentials PT, OCS, FAAOMPT
Entity Individual
Enumeration date 04/10/2007
Last updated 05/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004663
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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