Provider Demographics
NPI:1659461069
Name:HAVEL, DAWN DEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:DEE
Last Name:HAVEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 EDGEWATER COURT
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:AL
Mailing Address - Zip Code:36052
Mailing Address - Country:US
Mailing Address - Phone:334-322-2552
Mailing Address - Fax:
Practice Address - Street 1:112 EDGEWATER COURT
Practice Address - Street 2:
Practice Address - City:MATHEWS
Practice Address - State:AL
Practice Address - Zip Code:36052
Practice Address - Country:US
Practice Address - Phone:334-322-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051525026OtherBCBS
AL051525026Medicare ID - Type Unspecified
ALU90448Medicare UPIN