Javery, Keith B
Javery, Keith B is an sole proprietor health care provider with primary practice located at 710 Kenmoor Ave Se Suite 200, Grand Rapids MI 49546-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Javery, Keith B can be contacted via phone (616) 588-7246.Contact Information
Primary practice address
710 Kenmoor Ave Se Suite 200
Grand Rapids MI 49546-2379
Phone: (616) 588-7246
Fax: (616) 588-7086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 5101012927 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 5101012927 | Michigan |
Profile Details
| NPI number | 1891892402 |
|---|---|
| LBN Legal business name | Javery, Keith B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2006 |
| Last updated | May 27th, 2009 - about 17 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 | 1891892402 | NPPES |
| Michigan | MEDICAID | 1164664082 |
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