Avery, Kemaria Dominay
Avery, Kemaria Dominay is an individual health care provider with primary practice located at 9441 Common St Ste B , Baton Rouge LA 70809-1463. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Avery, Kemaria Dominay can be contacted via phone (225) 923-3733.Contact Information
Primary practice address
9441 Common St Ste B
Baton Rouge LA 70809-1463
Phone: (225) 923-3733
Fax: (225) 923-3735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Louisiana |
Profile Details
| NPI number | 1275193815 |
|---|---|
| LBN Legal business name | Avery, Kemaria Dominay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2019 |
| Last updated | Jun 17th, 2019 - about 6 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 | 1275193815 | NPPES |
| Louisiana | MEDICAID | 600964601 |
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