Individual provider · Type 1 NPI

Jacob Aaron Havens, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1699394031 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1728 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699394031

Jacob Aaron Havens, DO's National Provider Identifier is 1699394031, issued on Apr 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 30, 2025.