Reavey-Cantwell, John Frederick

Reavey-Cantwell, John Frederick is an individual health care provider with primary practice located at 1250 E Marshall St Neurosurgery, Richmond VA 23298-5051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Reavey-Cantwell, John Frederick can be contacted via phone (804) 828-9165.

Contact Information

Primary practice address
1250 E Marshall St Neurosurgery Richmond VA 23298-5051
Fax: (804) 828-0374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME92657 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101242977 Virginia

Profile Details

NPI number 1740363837
LBN Legal business name Reavey-Cantwell, John Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 30th, 2008 - about 18 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 1740363837 NPPES
Florida MEDICAID 280197300

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