Cavanaugh, Christine D

Cavanaugh, Christine D is an individual health care provider with primary practice located at 1141 N Olive Ave , Turlock CA 95380-3365. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cavanaugh, Christine D can be contacted via phone (209) 667-2749.

Contact Information

Primary practice address
1141 N Olive Ave Turlock CA 95380-3365
Phone: (209) 667-2749
Fax: (209) 668-5396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN544279 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1050160 California

Profile Details

NPI number 1871548115
LBN Legal business name Cavanaugh, Christine D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 13th, 2012 - about 13 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 1871548115 NPPES
California MEDICAID NP12234

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