Favaloro, Kathleen M
Favaloro, Kathleen M is an sole proprietor health care provider with primary practice located at 19 Lewis Avenue , Great Barrington MA 01230. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is her primary health care specialty. Favaloro, Kathleen M can be contacted via phone (413) 528-5535.Contact Information
Primary practice address
19 Lewis Avenue
Great Barrington MA 01230
Phone: (413) 528-5535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2395 | Massachusetts |
| Chiropractic Providers / Chiropractor | 111N00000X | X009242-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006800-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12166 | Massachusetts |
Profile Details
| NPI number | 1023181708 |
|---|---|
| LBN Legal business name | Favaloro, Kathleen M |
| Credentials | CHIROPRACTOR, PT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Aug 11th, 2015 - about 10 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 | 1023181708 | NPPES |
| Other | Q04313 | DC BCBS | |
| Other | Q04314 | DC BCBS |
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