Lavin, Michael
Lavin, Michael is an sole proprietor health care provider with primary practice located at 356 Loder St , South Waverly PA 18840-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lavin, Michael can be contacted via phone (570) 882-7414.Contact Information
Primary practice address
356 Loder St
South Waverly PA 18840-2611
Phone: (570) 882-7414
Fax: (570) 888-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD072058L | Pennsylvania |
Profile Details
| NPI number | 1568426732 |
|---|---|
| LBN Legal business name | Lavin, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Feb 14th, 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 | 1568426732 | NPPES |
| Pennsylvania | MEDICAID | 001815370 | |
| Pennsylvania | Other | 1439241 |
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