Havlak, Dirk Francis

Havlak, Dirk Francis is an individual health care provider with primary practice located at 5130 Corporate Center Ct Se , Lacey WA 98503-5957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Havlak, Dirk Francis can be contacted via phone (360) 413-8600.

Contact Information

Primary practice address
5130 Corporate Center Ct Se Lacey WA 98503-5957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00020629 Washington

Profile Details

NPI number 1003989260
LBN Legal business name Havlak, Dirk Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1003989260 NPPES
Washington MEDICAID 8546905

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