Pavey, Deborah Michelle

Pavey, Deborah Michelle is an individual health care provider with primary practice located at 900 I St , La Porte IN 46350-5533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pavey, Deborah Michelle can be contacted via phone (219) 324-1700.

Contact Information

Primary practice address
900 I St La Porte IN 46350-5533
Fax: (219) 324-1602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01090928A Indiana

Profile Details

NPI number 1417577271
LBN Legal business name Pavey, Deborah Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Aug 14th, 2023 - about 2 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 1417577271 NPPES
Indiana MEDICAID 300037803

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