Deaver, Lennie J
Deaver, Lennie J is an individual health care provider with primary practice located at 309 Nelson St , Cambridge NE 69022-3592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deaver, Lennie J can be contacted via phone (308) 697-1419.Contact Information
Primary practice address
309 Nelson St
Cambridge NE 69022-3592
Phone: (308) 697-1419
Fax: (308) 697-3278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | NE16867 | Nebraska |
Profile Details
| NPI number | 1184702409 |
|---|---|
| LBN Legal business name | Deaver, Lennie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184702409 | NPPES |
| Nebraska | MEDICAID | 16867 |
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