Lefaivre, Scott
Lefaivre, Scott is an sole proprietor health care provider with primary practice located at 140 Carriage Circle Dr , Pontiac MI 48342-3313. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Lefaivre, Scott can be contacted via phone (248) 247-4045.Contact Information
Primary practice address
140 Carriage Circle Dr
Pontiac MI 48342-3313
Phone: (248) 247-4045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | L116760603072 | Michigan |
Profile Details
| NPI number | 1962878074 |
|---|---|
| LBN Legal business name | Lefaivre, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2015 |
| Last updated | Aug 12th, 2015 - about 10 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 | 1962878074 | NPPES |
| Michigan | MEDICAID | 116760603072 |
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