Canedo, Jose Alfonso
Canedo, Jose Alfonso is an sole proprietor health care provider with primary practice located at 2300 Manchester Expy Bldg H Suite 103, Columbus GA 31904-6802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Canedo, Jose Alfonso can be contacted via phone (706) 571-0121.Contact Information
Primary practice address
2300 Manchester Expy Bldg H Suite 103
Columbus GA 31904-6802
Phone: (706) 571-0121
Fax: (706) 571-0124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 032356 | Georgia |
Profile Details
| NPI number | 1306979828 |
|---|---|
| LBN Legal business name | Canedo, Jose Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Feb 11th, 2010 - about 14 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 | 1306979828 | NPPES |
| Georgia | MEDICAID | 00416435A |
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