Haselhorst, Kevin John

Haselhorst, Kevin John is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Haselhorst, Kevin John can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25725 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25725 Arizona

Profile Details

NPI number 1831170935
LBN Legal business name Haselhorst, Kevin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Sep 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170935 NPPES
Arizona Other AW1436 HEALTHNET GROUP
Arizona Other 860373636 HEALTHNET GROUP
Arizona Other 453051001 HEALTHNET GROUP
Arizona Other AZ0728670 HEALTHNET GROUP
Arizona Other 3981220 HEALTHNET GROUP
Arizona MEDICAID 420886 HEALTHNET GROUP

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