Individual
JAMIE SILAS HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 FARMINGTON AVE, BRISTOL, CT 06010-4200
(860) 314-1871
(860) 584-8425
Mailing address
49 HARTFORD AVE, BRISTOL, CT 06010-2756
(860) 314-1871
(860) 584-8425
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598891855
—
CT
Enumeration date
07/13/2015
Last updated
07/13/2015
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