Cavanaugh, Alyssa Marie
Cavanaugh, Alyssa Marie is an individual health care provider with primary practice located at 1125 S Main St , Chelsea MI 48118-1426. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cavanaugh, Alyssa Marie can be contacted via phone (734) 475-1188.Contact Information
Primary practice address
1125 S Main St
Chelsea MI 48118-1426
Phone: (734) 475-1188
Fax: (734) 475-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302041023 | Michigan |
Profile Details
| NPI number | 1962929570 |
|---|---|
| LBN Legal business name | Cavanaugh, Alyssa Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2017 |
| Last updated | Aug 24th, 2017 - about 8 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 | 1962929570 | NPPES |
| Michigan | MEDICAID | 20170714714048 |
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