Kavkewitz, Michael

Kavkewitz, Michael is an sole proprietor health care provider with primary practice located at 6727 Heritage Business Ct Suite 724, Chattanooga TN 37421-7015. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kavkewitz, Michael can be contacted via phone (423) 314-1176.

Contact Information

Primary practice address
6727 Heritage Business Ct Suite 724 Chattanooga TN 37421-7015
Phone: (423) 314-1176
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 864 Georgia
Behavioral Health & Social Service Providers / Counseling 103TC1900X P001108 Tennessee

Profile Details

NPI number 1598814394
LBN Legal business name Kavkewitz, Michael
Credentials PH. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1598814394 NPPES
Tennessee Other 0090222 BCBS-TN PROVIDER ID
Tennessee MEDICAID 00389914D BCBS-TN PROVIDER ID

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