Cannata, Albert John

Cannata, Albert John is an individual health care provider with primary practice located at 1947 Founders' Circle Drive , Wichita KS 67206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cannata, Albert John can be contacted via phone (316) 613-4640.

Contact Information

Primary practice address
1947 Founders' Circle Drive Wichita KS 67206
Phone: (316) 613-4640
Fax: (316) 613-4739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00158 Kansas

Profile Details

NPI number 1871563924
LBN Legal business name Cannata, Albert John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 20th, 2008 - 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 1871563924 NPPES
Kansas MEDICAID 100340660A

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