Lavely, William T

Lavely, William T is an sole proprietor health care provider with primary practice located at 1507 Spring Street , Jeffersonville IN 47130-3554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Lavely, William T can be contacted via phone (812) 901-6881.

Contact Information

Primary practice address
1507 Spring Street Jeffersonville IN 47130-3554
Phone: (812) 901-6881
Fax: (812) 218-9318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71004684A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3008244 Kentucky

Profile Details

NPI number 1871927822
LBN Legal business name Lavely, William T
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2013
Last updated Oct 18th, 2024 - about 2 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 1871927822 NPPES
Other 1063415297 GROUP NUMBER - PARK VIEW MD GROUP
Other 1487872636 GROUP NUMBER - PARK VIEW MD GROUP
MEDICAID 201198690 GROUP NUMBER - PARK VIEW MD GROUP

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