Cannaday, Jerry
Cannaday, Jerry is an individual health care provider with primary practice located at 121 Cordoba Center Dr Suite 400, Hot Springs AR 71909-4030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Cannaday, Jerry can be contacted via phone (501) 915-0837.Contact Information
Primary practice address
121 Cordoba Center Dr Suite 400
Hot Springs AR 71909-4030
Phone: (501) 915-0837
Fax: (501) 915-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D7542 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R-4722 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R-4722 | Arkansas |
Profile Details
| NPI number | 1194774646 |
|---|---|
| LBN Legal business name | Cannaday, Jerry |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 13th, 2017 - about 8 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 | 1194774646 | NPPES |
| Texas | Other | 84Z865 | BCBS |
| Texas | MEDICAID | 1341125-04 | BCBS |
| Texas | Other | 080095891 | BCBS |
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