Individual
STEPHEN REEVES HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 SPARKS AVENUE, SUITE 200, JEFFERSONVILLE, IN 47130-3739
(812) 283-4441
(812) 288-2605
Mailing address
207 SPARKS AVENUE, SUITE 200, JEFFERSONVILLE, IN 47130-3739
(812) 283-4441
(812) 288-2605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042280
ANTHEM
—
01
—
0101169
UNITED HEALTHCARE
—
01
—
020012986
RAILROAD MEDICARE
IN
05
—
100149740A
—
IN
01
—
4237775
AETNA
—
Enumeration date
04/08/2006
Last updated
12/15/2011
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