Cavallo, Martyn J

Cavallo, Martyn J is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1448. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cavallo, Martyn J can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Phone: (615) 327-4304
Fax: (615) 327-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27196 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 27196 Tennessee

Profile Details

NPI number 1699770263
LBN Legal business name Cavallo, Martyn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 21st, 2014 - about 10 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 1699770263 NPPES
Kentucky MEDICAID 64924145
Kentucky MEDICAID 009905170
Kentucky MEDICAID 3097610
Kentucky Other 3112678

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