Canavan, Joycelin F
Canavan, Joycelin F is an individual health care provider with primary practice located at 1125 Aspira Ct , Mansfield OH 44906-4125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Canavan, Joycelin F can be contacted via phone (419) 756-2122.Contact Information
Primary practice address
1125 Aspira Ct
Mansfield OH 44906-4125
Phone: (419) 756-2122
Fax: (419) 756-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 0437169 | Kansas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2014008708 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 129748 | Ohio |
Profile Details
| NPI number | 1366852824 |
|---|---|
| LBN Legal business name | Canavan, Joycelin F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2014 |
| Last updated | Jan 19th, 2017 - 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 | 1366852824 | NPPES |
| Missouri | MEDICAID | 1366852824 | |
| Missouri | MEDICAID | 201096380C | |
| Missouri | MEDICAID | 201096380B |
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