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 9 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 |
Popular Providers
-
Wymer, Daniel L
11023 Gatewood Dr Ste 101 , Bradenton FL 34211-4945 -
Martin, Elizabeth Hay
1166 Adams Ave , Huntington WV 25704-1612 -
Wright, Don P
13746 Victory Blvd 201, Van Nuys CA 91401-6716 -
Stockfisch, Kristine
405 Stockbridge Rd C/O Vitality Chiropractic, Great Barrington MA 01230-1233 -
Van Wagner, John Ben
80 Maple Ave Ste. 6, Great Barrington MA 01230-1948 -
Buchakjian, Tara Lynne
2 Home Rd , Hatboro PA 19040-2026 -
Harper, Dennis Lee
10620 Highway 12 , Orofino ID 83544-9372 -
Humphrey, John Wayne
329 State Road , Great Barrington MA 01230-1496