Tavernier, Kcy

Tavernier, Kcy is an individual health care provider with primary practice located at 377 Laclair St , Coos Bay OR 97420-4709. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tavernier, Kcy can be contacted via phone (541) 756-2057.

Contact Information

Primary practice address
377 Laclair St Coos Bay OR 97420-4709
Phone: (541) 756-2057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326707340
LBN Legal business name Tavernier, Kcy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2021
Last updated Dec 17th, 2021 - about 3 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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