Haver, Kenan Edward
Haver, Kenan Edward is an individual health care provider with primary practice located at 300 Longwood Ave Division Of Respiratory Diseases, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Haver, Kenan Edward can be contacted via phone (617) 355-1900.Contact Information
Primary practice address
300 Longwood Ave Division Of Respiratory Diseases
Boston MA 02115-5724
Phone: (617) 355-1900
Fax: (617) 730-0246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 59356 | Massachusetts |
Profile Details
| NPI number | 1548250228 |
|---|---|
| LBN Legal business name | Haver, Kenan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548250228 | NPPES |
| Massachusetts | Other | 059356 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J10856 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 110049658A | TUFTS HEALTH PLAN |
| Massachusetts | Other | S400170197 | TUFTS HEALTH PLAN |
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