Genovese, Megan Lynn

Genovese, Megan Lynn is an individual health care provider with primary practice located at 1651 E Nickerson Ave , Benton Harbor MI 49022-2469. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Genovese, Megan Lynn can be contacted via phone (269) 983-5833.

Contact Information

Primary practice address
1651 E Nickerson Ave Benton Harbor MI 49022-2469
Phone: (269) 983-5833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1336647288
LBN Legal business name Genovese, Megan Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2018
Last updated Oct 25th, 2019 - about 7 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 1336647288 NPPES
Indiana Other 1891917449 LOGAN COMMUNITY RESOURCES, INC.

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