Haveman, Tammie J

Haveman, Tammie J is an individual health care provider with primary practice located at 405 Stageline Rd , Hudson WI 54016-7848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Haveman, Tammie J can be contacted via phone (715) 531-6000.

Contact Information

Primary practice address
405 Stageline Rd Hudson WI 54016-7848
Phone: (715) 531-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2819-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1306 Minnesota

Profile Details

NPI number 1144451139
LBN Legal business name Haveman, Tammie J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2009
Last updated May 13th, 2019 - about 7 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 1144451139 NPPES
Minnesota MEDICAID PENDING

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