| Benjamin John Havenaar, DPT, PT | |
|
610 Baldwin St, Jenison, MI 49428 | |
| (616) 608-8930 | |
| Not Available |
| Full Name | Benjamin John Havenaar |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 610 Baldwin St, Jenison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487363800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-32680 (Arizona) | Primary |
| Provider Name | Hulst Jepsen Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Havenaar, DPT, PT Po Box 30516, Dept 5300, Lansing, MI 48909 Ph: () - | Benjamin John Havenaar, DPT, PT 610 Baldwin St, Jenison, MI 49428 Ph: (616) 608-8930 |
Emily Meindertsma, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Baldwin St Apt A2, Jenison, MI 49428 Phone: 571-451-3746 | |
Alexis Novak, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1915 Georgetown Center Dr Ste 102, Jenison, MI 49428 Phone: 616-577-8251 | |
Mr. David Charles Perrin, MS PT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1935 Sandburr Dr, Jenison, MI 49428 Phone: 616-667-2785 Fax: 616-608-7786 | |
Jamie Hebner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1915 Georgetown Center Dr Ste 102, Jenison, MI 49428 Phone: 616-356-5000 Fax: 616-356-5001 | |
Catherine Branagan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 Baldwin St, Jenison, MI 49428 Phone: 616-608-8930 | |
Amerifirst Physical Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1366 Baldwin St, Jenison, MI 49428 Phone: 269-290-4410 | |
Jon Vos, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1915 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-356-5000 Fax: 616-356-5001 |