Kavanagh, Joseph Edward Terence
Kavanagh, Joseph Edward Terence is an individual health care provider with primary practice located at 2660 South St Se , Warren OH 44483-6230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kavanagh, Joseph Edward Terence can be contacted via phone (330) 393-5544.Contact Information
Primary practice address
2660 South St Se
Warren OH 44483-6230
Phone: (330) 393-5544
Fax: (330) 393-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35-03-3135 | Ohio |
Profile Details
| NPI number | 1215921168 |
|---|---|
| LBN Legal business name | Kavanagh, Joseph Edward Terence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1215921168 | NPPES |
| Ohio | MEDICAID | 0172085 |
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