Kavanaugh, James Michael
Kavanaugh, James Michael is an sole proprietor health care provider with primary practice located at 2243 Main Ave Ste 4F , Durango CO 81301-4699. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kavanaugh, James Michael can be contacted via phone (505) 995-0635.Contact Information
Primary practice address
2243 Main Ave Ste 4F
Durango CO 81301-4699
Phone: (505) 995-0635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3158 | Colorado |
Profile Details
| NPI number | 1497857338 |
|---|---|
| LBN Legal business name | Kavanaugh, James Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | May 2nd, 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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