Cavanaugh, James Joseph

Cavanaugh, James Joseph is an individual health care provider with primary practice located at 11900 Wayzata Blvd Ste 100 , Minnetonka MN 55305-2018. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cavanaugh, James Joseph can be contacted via phone (612) 454-2058.

Contact Information

Primary practice address
11900 Wayzata Blvd Ste 100 Minnetonka MN 55305-2018
Phone: (612) 454-2058
Fax: (952) 546-1683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302366 Minnesota

Profile Details

NPI number 1588120596
LBN Legal business name Cavanaugh, James Joseph
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2019
Last updated Feb 14th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588120596 NPPES
Other 1922448620 NPI

Popular Providers