Organization
HAVEN SPINE & PAIN CENTER PLLC
Active
Organization
HAVEN SPINE & PAIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DILLON (EXECUTIVE DIRECTOR)
(312) 505-1033
Entity
Organization
Contact information
Practice address
2680 LEONARD ST NE STE 3, GRAND RAPIDS, MI 49525-6902
(616) 364-4200
(616) 364-7347
Mailing address
2680 LEONARD ST NE STE 3, GRAND RAPIDS, MI 49525-6902
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
12/09/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up