Cannava, Mathew M
Cannava, Mathew M is an individual health care provider with primary practice located at 247 N Fireweed St Ste B, Soldotna AK 99669-7540. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Cannava, Mathew M can be contacted via phone (907) 262-7546.Contact Information
Primary practice address
247 N Fireweed St Ste B
Soldotna AK 99669-7540
Phone: (907) 262-7546
Fax: (907) 262-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | AK4179 | Alaska |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | AK4179 | Alaska |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | AK4179 | Alaska |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | AK4179 | Alaska |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | AK4179 | Alaska |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | AK4179 | Alaska |
Profile Details
| NPI number | 1245368695 |
|---|---|
| LBN Legal business name | Cannava, Mathew M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Feb 10th, 2009 - about 15 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 | 1245368695 | NPPES |
| Alaska | MEDICAID | MD16711 |
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