Gavan, Catherine Lynn

Gavan, Catherine Lynn is an individual health care provider with primary practice located at 48681 Hayes Rd Suite 200, Shelby Township MI 48315-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gavan, Catherine Lynn can be contacted via phone (586) 799-1212.

Contact Information

Primary practice address
48681 Hayes Rd Suite 200 Shelby Township MI 48315-4403
Fax: (586) 799-1210
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002698 Michigan

Profile Details

NPI number 1215146311
LBN Legal business name Gavan, Catherine Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 7th, 2023 - about 2 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 1215146311 NPPES
Michigan Other 1755014270 BCBS OF MICHIGAN
Michigan Other CG002698 BCBS OF MICHIGAN

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