Cannon, Austin Ron
Cannon, Austin Ron is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cannon, Austin Ron can be contacted via phone (801) 507-7000.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 507-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10086826-1205 | Utah |
Profile Details
| NPI number | 1790179653 |
|---|---|
| LBN Legal business name | Cannon, Austin Ron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2015 |
| Last updated | Oct 7th, 2022 - about 4 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 | 1790179653 | NPPES |
| Utah | Other | 10086826 | STATE OF UTAH ACTIVE LICENSE |
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