Individual
ROBERT W CAWTHON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 S EBERHART RD, BUTLER, PA 16001-2842
(724) 487-4746
(815) 550-1947
Mailing address
239 S EBERHART RD, BUTLER, PA 16001-2842
(724) 487-4746
(815) 550-1947
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
708933
PA
171W00000X
Contractor
974938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
708933
PENNSYLVANIA ACCIDENT HEALTH LIFE PRODUCER
PA
01
—
974938
VIRGINIA ACCIDENT HEALTH PRODUCER
VA
Enumeration date
10/07/2016
Last updated
10/07/2016
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