Lavery, Kathleen A
Lavery, Kathleen A is an individual health care provider with primary practice located at 500 S Jackson St , Jackson MI 49203-1709. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lavery, Kathleen A can be contacted via phone (517) 796-1398.Contact Information
Primary practice address
500 S Jackson St
Jackson MI 49203-1709
Phone: (517) 796-1398
Fax: (517) 796-8057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | KL183182 | Michigan |
Profile Details
| NPI number | 1295728566 |
|---|---|
| LBN Legal business name | Lavery, Kathleen A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Dec 18th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295728566 | NPPES |
| Michigan | MEDICAID | 4563623 | |
| Michigan | MEDICAID | 4790069 |
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