Cann, John William

Cann, John William is an sole proprietor health care provider with primary practice located at 655 Broadway , Revere MA 02151-2347. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Plastic Surgery, Other Service Providers / Health Educator, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Cann, John William can be contacted via phone (617) 285-8731.

Contact Information

Primary practice address
655 Broadway Revere MA 02151-2347
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Plastic Surgery 163WS0121X RN2298986 Massachusetts
Other Service Providers / Health Educator 174H00000X RN2298986 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN2298986 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2298986 Massachusetts

Profile Details

NPI number 1124645007
LBN Legal business name Cann, John William
Credentials MSN, FNP-BC, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Jun 29th, 2022 - 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 1124645007 NPPES
Massachusetts MEDICAID S26425787

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