Lavery, Michelle Kathleen
Lavery, Michelle Kathleen is an individual health care provider with primary practice located at 1118 Hampshire St , Quincy IL 62301-3027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lavery, Michelle Kathleen can be contacted via phone (217) 222-6550.Contact Information
Primary practice address
1118 Hampshire St
Quincy IL 62301-3027
Phone: (217) 222-6550
Fax: (217) 277-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2013029864 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070007181 | Illinois |
Profile Details
| NPI number | 1578763256 |
|---|---|
| LBN Legal business name | Lavery, Michelle Kathleen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1578763256 | NPPES |
| Illinois | Other | 567700 | MEDICARE GROUP NUMBER |
| Illinois | Other | 568080 | MEDICARE GROUP NUMBER |
| Illinois | Other | 1619908 | MEDICARE GROUP NUMBER |
| Illinois | Other | 568150 | MEDICARE GROUP NUMBER |
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