Cavendish, Jean Fleming

Cavendish, Jean Fleming is an sole proprietor health care provider with primary practice located at 230 Washington Way , Centralia WA 98531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as her primary health care specialty. Cavendish, Jean Fleming can be contacted via phone (360) 736-9147.

Contact Information

Primary practice address
230 Washington Way Centralia WA 98531
Phone: (360) 736-9147
Fax: (360) 736-9181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X MD00016865 Washington

Profile Details

NPI number 1912129727
LBN Legal business name Cavendish, Jean Fleming
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1912129727 NPPES
Washington MEDICAID 1416502

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