Provider Demographics
NPI:1144205709
Name:CAVENAR, JESSE OSCAR JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:OSCAR
Last Name:CAVENAR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:CMR 442, BOX 346, APO AE 09042-0301
Mailing Address - Street 2:
Mailing Address - City:HEIDELBERG
Mailing Address - State:GERMANY
Mailing Address - Zip Code:69124
Mailing Address - Country:DE
Mailing Address - Phone:49622-117-2690
Mailing Address - Fax:49622-117-2656
Practice Address - Street 1:KARLSRUHER STRASSE
Practice Address - Street 2:
Practice Address - City:HEIDELBERG
Practice Address - State:GERMANY
Practice Address - Zip Code:69124
Practice Address - Country:DE
Practice Address - Phone:49622-117-2690
Practice Address - Fax:49622-117-2656
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC31812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry