Cavanagh, John Mark

Cavanagh, John Mark is an individual health care provider with primary practice located at 2655 Innsbruck Dr Suite B, New Brighton MN 55112-9303. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cavanagh, John Mark can be contacted via phone (651) 636-2020.

Contact Information

Primary practice address
2655 Innsbruck Dr Suite B New Brighton MN 55112-9303
Phone: (651) 636-2020
Fax: (651) 633-5036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2236 Minnesota

Profile Details

NPI number 1205921368
LBN Legal business name Cavanagh, John Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 18th, 2009 - about 15 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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