Javery, Keith B

Javery, Keith B is an sole proprietor health care provider with primary practice located at 710 Kenmoor Ave Se Suite 200, Grand Rapids MI 49546-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Javery, Keith B can be contacted via phone (616) 588-7246.

Contact Information

Primary practice address
710 Kenmoor Ave Se Suite 200 Grand Rapids MI 49546-2379
Phone: (616) 588-7246
Fax: (616) 588-7086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 5101012927 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 5101012927 Michigan

Profile Details

NPI number 1891892402
LBN Legal business name Javery, Keith B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2006
Last updated May 27th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891892402 NPPES
Michigan MEDICAID 1164664082

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