Cavanaugh, Mitchell

Cavanaugh, Mitchell is an individual health care provider with primary practice located at 1175 Wilson Ave Nw , Walker MI 49534-6407. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Cavanaugh, Mitchell can be contacted via phone (616) 685-8650.

Contact Information

Primary practice address
1175 Wilson Ave Nw Walker MI 49534-6407
Phone: (616) 685-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5351013221 Michigan
Pharmacy Service Providers / Ambulatory Care 1835P2201X 5302412556 Michigan

Profile Details

NPI number 1932667144
LBN Legal business name Cavanaugh, Mitchell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Dec 16th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932667144 NPPES
Michigan Other 5302412556 PHARMACIST LICENSE
Michigan Other 5315219725 PHARMACIST LICENSE

Popular Providers