Smedley, Lavern Dennis
Smedley, Lavern Dennis is an individual health care provider with primary practice located at 3113 1St Ave Sw , Cedar Rapids IA 52405-4524. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Smedley, Lavern Dennis can be contacted via phone (319) 361-6529.Contact Information
Primary practice address
3113 1St Ave Sw
Cedar Rapids IA 52405-4524
Phone: (319) 361-6529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1023443959 |
|---|---|
| LBN Legal business name | Smedley, Lavern Dennis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Sep 11th, 2013 - about 11 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 | 1023443959 | NPPES |
| Iowa | MEDICAID | 0101342 |
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