Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT HAVENS, MSW LCSW, MS PA-C
ActiveMATT HAVENS, MSW LCSW, MS PA-C is a Medical Physician Assistant healthcare provider located in BOLIVAR, Missouri. NPI 1992912216 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BOLIVAR, MO
Registration Details
- NPI Number
- 1992912216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2007 (19.206192115341 yrs)
- Last Updated
- Jan 27, 2017
- License
-
2005029085 (MO)
Practice Information
- Address
-
1300 N OAKLAND AVESUITE ABOLIVAR, MO, 656133018Browse MO providers · Browse ZIP 65613
- Phone
- 4173267676
- Fax
- 4173263939
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LEIGH A O'CONNOR | PA-C | 1740202142 |
| STEPHANIE MARIE AUG | PA | 1225304587 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.