Cavanaugh, Jeffrey David

Cavanaugh, Jeffrey David is an sole proprietor health care provider with primary practice located at 3463 Magic Dr Suite T21, San Antonio TX 78229-2973. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Perfusionist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Perfusionist is his primary health care specialty. Cavanaugh, Jeffrey David can be contacted via phone (210) 614-8101.

Contact Information

Primary practice address
3463 Magic Dr Suite T21 San Antonio TX 78229-2973
Phone: (210) 614-8101
Fax: (210) 614-8102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X PF1057 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 166637 Colorado

Profile Details

NPI number 1265703474
LBN Legal business name Cavanaugh, Jeffrey David
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2012
Last updated Jun 16th, 2016 - 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.

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