Cavanaugh, Thomas Timothy

Cavanaugh, Thomas Timothy is an individual health care provider with primary practice located at 8540 Dune Lake Rd Se , Moses Lake WA 98837-8228. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cavanaugh, Thomas Timothy can be contacted via phone (509) 766-9043.

Contact Information

Primary practice address
8540 Dune Lake Rd Se Moses Lake WA 98837-8228
Phone: (509) 766-9043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30004985 Washington

Profile Details

NPI number 1528020435
LBN Legal business name Cavanaugh, Thomas Timothy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528020435 NPPES
Washington MEDICAID 9605643

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