Haveman, Craig

Haveman, Craig is an individual health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Haveman, Craig can be contacted via phone (541) 789-4263.

Contact Information

Primary practice address
2825 E Barnett Rd Medford OR 97504-8332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD17051 Oregon

Profile Details

NPI number 1942269170
LBN Legal business name Haveman, Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 5th, 2010 - about 15 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 1942269170 NPPES
Oregon Other MD17051 OREGON STATE LICENSE
Oregon MEDICAID 054317 OREGON STATE LICENSE

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