Lauver, Jacob Renick

Lauver, Jacob Renick is an individual health care provider with primary practice located at 1450 Madison Ave , Covington KY 41011-3369. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lauver, Jacob Renick can be contacted via phone (859) 444-4499.

Contact Information

Primary practice address
1450 Madison Ave Covington KY 41011-3369
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 247532 Kentucky

Profile Details

NPI number 1548723638
LBN Legal business name Lauver, Jacob Renick
Credentials MS, MBA, CADC, LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Apr 8th, 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 1548723638 NPPES
Kentucky MEDICAID 04032015

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