Cavanaugh, Robert Alan
Cavanaugh, Robert Alan is an individual health care provider with primary practice located at 1800 Lawrence Dr , De Pere WI 54115-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cavanaugh, Robert Alan can be contacted via phone (920) 983-3220.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25135 | Wisconsin |
Profile Details
| NPI number | 1295814176 |
|---|---|
| LBN Legal business name | Cavanaugh, Robert Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Dec 2nd, 2015 - about 9 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 | 1295814176 | NPPES |
| Wisconsin | MEDICAID | 30522900 |
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