Haver, Laura Grace
Haver, Laura Grace is an sole proprietor health care provider with primary practice located at 8725 N Wickham Rd Ste 200 , Melbourne FL 32940-2240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Haver, Laura Grace can be contacted via phone (321) 434-9230.Contact Information
Primary practice address
8725 N Wickham Rd Ste 200
Melbourne FL 32940-2240
Phone: (321) 434-9230
Fax: (321) 434-9269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9106534 | Florida |
Profile Details
| NPI number | 1538418678 |
|---|---|
| LBN Legal business name | Haver, Laura Grace |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538418678 | NPPES |
| Florida | Other | GV589Y | MEDICARE |
| Florida | MEDICAID | 010403100 | MEDICARE |
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