Cavenagh, John M.

Cavenagh, John M. is an individual health care provider with primary practice located at 4190 City Line Ave Suite 315, Philadelphia PA 19131-1626. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cavenagh, John M. can be contacted via phone (215) 871-6380.

Contact Information

Primary practice address
4190 City Line Ave Suite 315 Philadelphia PA 19131-1626
Phone: (215) 871-6380
Fax: (215) 871-6381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA000378L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA000252L Pennsylvania

Profile Details

NPI number 1649271313
LBN Legal business name Cavenagh, John M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 8th, 2009 - about 16 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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