Gavett, Jennifer Lynn

Gavett, Jennifer Lynn is an individual health care provider with primary practice located at 24 Stillwater Ave , Old Town ME 04468-1418. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gavett, Jennifer Lynn can be contacted via phone (207) 827-1625.

Contact Information

Primary practice address
24 Stillwater Ave Old Town ME 04468-1418
Fax: (207) 827-4621
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR1080 Maine

Profile Details

NPI number 1881745248
LBN Legal business name Gavett, Jennifer Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated May 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881745248 NPPES
Maine MEDICAID 154250000

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