Sivley, John

Sivley, John is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sivley, John can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail Street Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0398 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0893 Kentucky

Profile Details

NPI number 1134232200
LBN Legal business name Sivley, John
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 4th, 2008 - about 16 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 1134232200 NPPES
Kentucky MEDICAID 30604011

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