Faver, Kathryn Jane

Faver, Kathryn Jane is an individual health care provider with primary practice located at 522 Beltrami Ave Nw Ste 17 , Bemidji MN 56601-3182. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Faver, Kathryn Jane can be contacted via phone (218) 441-3631.

Contact Information

Primary practice address
522 Beltrami Ave Nw Ste 17 Bemidji MN 56601-3182
Phone: (218) 441-3631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3151 Minnesota

Profile Details

NPI number 1639188543
LBN Legal business name Faver, Kathryn Jane
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 17th, 2024 - about last year

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 1639188543 NPPES
Minnesota MEDICAID 082722300
Minnesota Other 11N51GA
Minnesota Other 6271239

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