Canham, John L

Canham, John L is an individual health care provider with primary practice located at 919 Westfall Rd Bldg C-100, Rochester NY 14618-2638. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Canham, John L can be contacted via phone (585) 271-2800.

Contact Information

Primary practice address
919 Westfall Rd Bldg C-100 Rochester NY 14618-2638
Phone: (585) 271-2800
Fax: (585) 271-0375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 6959 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006959 New York

Profile Details

NPI number 1477536043
LBN Legal business name Canham, John L
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 5th, 2023 - about 2 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 1477536043 NPPES
New York MEDICAID 02650553
New York Other 162597BT
New York Other P019006959

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