Cavins, Jonathon Wade
Cavins, Jonathon Wade is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 310 , Lebanon IN 46052-8622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cavins, Jonathon Wade can be contacted via phone (765) 485-8900.Contact Information
Primary practice address
2705 N Lebanon St Ste 310
Lebanon IN 46052-8622
Phone: (765) 485-8900
Fax: (765) 485-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01064975A | Indiana |
Profile Details
| NPI number | 1407066384 |
|---|---|
| LBN Legal business name | Cavins, Jonathon Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1407066384 | NPPES |
| Indiana | MEDICAID | 200908670 |
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