Haverty, Howard O.

Haverty, Howard O. is an individual health care provider with primary practice located at 223 Wadsworth Dr , Richmond VA 23236-4510. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Haverty, Howard O. can be contacted via phone (804) 560-9852.

Contact Information

Primary practice address
223 Wadsworth Dr Richmond VA 23236-4510
Fax: (804) 330-4126
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101045117 Virginia

Profile Details

NPI number 1942202882
LBN Legal business name Haverty, Howard O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 19 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 1942202882 NPPES
Virginia MEDICAID 6007767

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