Canavan, Mark J

Canavan, Mark J is an individual health care provider with primary practice located at 100 W Lancaster Ave , Wynnewood PA 19096. 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. Canavan, Mark J can be contacted via phone (610) 645-2420.

Contact Information

Primary practice address
100 W Lancaster Ave Wynnewood PA 19096
Phone: (610) 645-2420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA003209L Pennsylvania

Profile Details

NPI number 1649242694
LBN Legal business name Canavan, Mark J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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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