Dulaveris, John Edward

Dulaveris, John Edward is an individual health care provider with primary practice located at 6402 Lost Creek Dr , Texarkana TX 75503-0902. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Dulaveris, John Edward can be contacted via phone (979) 557-1555.

Contact Information

Primary practice address
6402 Lost Creek Dr Texarkana TX 75503-0902
Phone: (979) 557-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 599388 Texas
Nursing Service Providers / Registered Nurse 163W00000X 599388 Texas

Profile Details

NPI number 1164496022
LBN Legal business name Dulaveris, John Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 2nd, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164496022 NPPES
Georgia Other 367500000X TRICARE

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