Lauver, Maxine

Lauver, Maxine is an individual health care provider with primary practice located at 6601 Phoenix Ave Ste B , Fort Smith AR 72903-5092. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Lauver, Maxine can be contacted via phone (479) 785-9091.

Contact Information

Primary practice address
6601 Phoenix Ave Ste B Fort Smith AR 72903-5092
Phone: (479) 785-9091
Fax: (479) 782-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1376017624
LBN Legal business name Lauver, Maxine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 5 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 1376017624 NPPES
Arkansas MEDICAID 136322724

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