Cannon, Benjamin Chad

Cannon, Benjamin Chad is an individual health care provider with primary practice located at 2408 Susannah St , Johnson City TN 37601-1732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Cannon, Benjamin Chad can be contacted via phone (423) 434-6677.

Contact Information

Primary practice address
2408 Susannah St Johnson City TN 37601-1732
Phone: (423) 434-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X L000000027637 Tennessee

Profile Details

NPI number 1275205437
LBN Legal business name Cannon, Benjamin Chad
Credentials CPRS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2021
Last updated Oct 5th, 2021 - 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.

Request for update

Popular Providers