| Specialty | Taxonomy Code | |
|---|---|---|
| * | Student Health | 261QS1000X |
| Family Medicine | 207Q00000X | |
| Occupational Therapist | 225X00000X | |
| Physical Therapist | 225100000X | |
| Physician Assistant | 363A00000X |
* Indicates primary specialty
| NPI Number | 1578757936 |
| Legal business name LBN |
WAVERLY HEALTH CENTER |
| Authorized official | JODI GEERTS - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/29/2007 |
| Last updated | 06/05/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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