Cavalcant, Jack R
Cavalcant, Jack R is an individual health care provider with primary practice located at 1432 S Dobson Rd 106, Mesa AZ 85202-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Cavalcant, Jack R can be contacted via phone (480) 969-3637.Contact Information
Primary practice address
1432 S Dobson Rd 106
Mesa AZ 85202-4768
Phone: (480) 969-3637
Fax: (480) 969-6568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 13635 | Arizona |
Profile Details
| NPI number | 1932173531 |
|---|---|
| LBN Legal business name | Cavalcant, Jack R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 4th, 2008 - about 16 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 | 1932173531 | NPPES |
| Arizona | Other | 120146 | MEDICARE PTAN |
| Arizona | MEDICAID | 24111701 | MEDICARE PTAN |
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