Pavon, Hector Eduardo

Pavon, Hector Eduardo is an sole proprietor health care provider with primary practice located at 298 Main St Suite 2, Cadiz KY 42211-9155. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Pavon, Hector Eduardo can be contacted via phone (270) 522-6684.

Contact Information

Primary practice address
298 Main St Suite 2 Cadiz KY 42211-9155
Fax: (270) 522-6673
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X LL441 Kentucky

Profile Details

NPI number 1629122643
LBN Legal business name Pavon, Hector Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Oct 29th, 2007 - about 18 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 1629122643 NPPES
Kentucky Other 000000046941 KENTUCKY BLUE CROSS
Kentucky MEDICAID 64994411 KENTUCKY BLUE CROSS

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