| Havlik Health Llc | |
|
117 Caillouet Pl Ste B Lafayette LA 70501-7807 | |
| (337) 573-2031 | |
| (337) 270-2674 |
| Full Name | Havlik Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 Caillouet Pl Ste B, Lafayette, Louisiana |
| Authorized Official Name and Position | Rebecca Nicole Havlik (CEO) |
| Authorized Official Contact | 3375013934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Havlik Health Llc 501 Torrenova Cir Lafayette LA 70508-1834 Ph: (337) 573-2031 | Havlik Health Llc 117 Caillouet Pl Ste B Lafayette LA 70501-7807 Ph: (337) 573-2031 |
| NPI Number | 1275269946 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 4385027200 |
|---|---|
| Medicare Enrollment ID | O20220810000951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275269946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Rebecca N Havlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598170342 PECOS PAC ID: 4082834445 Enrollment ID: I20141007000514 |
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