Cannell, John Jacob

Cannell, John Jacob is an sole proprietor health care provider with primary practice located at 1411 Marsh St Ste 203 , San Luis Obispo CA 93401-2968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cannell, John Jacob can be contacted via phone (805) 439-2569.

Contact Information

Primary practice address
1411 Marsh St Ste 203 San Luis Obispo CA 93401-2968
Phone: (805) 439-2569
Fax: (805) 439-1073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C37547 California

Profile Details

NPI number 1114979374
LBN Legal business name Cannell, John Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jan 17th, 2014 - about 10 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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