Fertil, Cavin
Fertil, Cavin is an sole proprietor health care provider with primary practice located at 12706 Woodrose Ct , Charlotte NC 28262-1543. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Fertil, Cavin can be contacted via phone (704) 549-0623.Contact Information
Primary practice address
12706 Woodrose Ct
Charlotte NC 28262-1543
Phone: (704) 549-0623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6728 | North Carolina |
Profile Details
| NPI number | 1679635627 |
|---|---|
| LBN Legal business name | Fertil, Cavin |
| Credentials | MS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679635627 | NPPES |
| North Carolina | MEDICAID | 7412067 |
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