Paul K. Canavan in Storrs Mansfield - Specialist
Paul K. Canavan - NPI 1871757740
Paul K. Canavan is a Specialist in Storrs Mansfield, Connecticut. Paul K. Canavan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul K. Canavan is 1871757740. The last update date is 2008-07-10.
Paul K. Canavan's current location address is 14 Dog Ln, Storrs Mansfield, Connecticut. You can contact this provider via phone number 8604868615. The mailing address for Paul K. Canavan is 14 Dog Ln, Storrs Mansfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul K. Canavan |
|---|---|
| Address | 14 Dog Ln, Storrs Mansfield, Connecticut |
| Phone Number | 8604868615 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1871757740 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 14 Dog Ln |
|---|---|
| City | Storrs Mansfield |
| State | Connecticut (CT) |
| Post Code | 62699033 |
| Phone Number | 8604868615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4532 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Paul K. Canavan by the Centers for Medicare & Medicaid Services?
The Paul K. Canavan has been issued the NPI (National Provider Identifier) 1871757740 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul K. Canavan is physically located?
The Paul K. Canavan is physically situated at the following address: 14 Dog Ln, Storrs Mansfield, CT, 62699033.
What is Paul K. Canavan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul K. Canavan is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871757740 to Paul K. Canavan?
The Paul K. Canavan received its 1871757740 assignment from the Centers for Medicare & Medicaid Services on 2008-07-10.
As of what date were the Paul K. Canavan's details last updated?
The information pertaining to the Paul K. Canavan, including its address, specialty, and other details, was most recently updated on 2008-07-10.
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