Cavanaugh, Robert Alan

Cavanaugh, Robert Alan is an individual health care provider with primary practice located at 1800 Lawrence Dr , De Pere WI 54115-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cavanaugh, Robert Alan can be contacted via phone (920) 983-3220.

Contact Information

Primary practice address
1800 Lawrence Dr De Pere WI 54115-9108
Phone: (920) 983-3220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25135 Wisconsin

Profile Details

NPI number 1295814176
LBN Legal business name Cavanaugh, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 2nd, 2015 - about 11 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 1295814176 NPPES
Wisconsin MEDICAID 30522900

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