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
Phone: (859) 444-4499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548723638 | NPPES |
| Kentucky | MEDICAID | 04032015 |
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