Cannella, Jonathan David
Cannella, Jonathan David is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Cannella, Jonathan David can be contacted via phone (814) 375-3238.Contact Information
Primary practice address
100 Hospital Ave
Du Bois PA 15801-1440
Phone: (814) 375-3238
Fax: (814) 375-3380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 57.015239 | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD448035 | Pennsylvania |
Profile Details
| NPI number | 1144503020 |
|---|---|
| LBN Legal business name | Cannella, Jonathan David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2011 |
| Last updated | Feb 19th, 2018 - about 6 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 | 1144503020 | NPPES |
| Pennsylvania | Other | 302580 | MEDICARE |
| Pennsylvania | MEDICAID | 102845465 | MEDICARE |
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