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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1306979828 NPPES
Georgia MEDICAID 00416435A

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