Cannon, Chad Jacob

Cannon, Chad Jacob is an individual health care provider with primary practice located at 14244 Potranco Rd Ste 250 , San Antonio TX 78253-2145. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Cannon, Chad Jacob can be contacted via phone (435) 755-7654.

Contact Information

Primary practice address
14244 Potranco Rd Ste 250 San Antonio TX 78253-2145
Phone: (435) 755-7654
Fax: (435) 753-7654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7875588-1202 Utah
Chiropractic Providers / Rehabilitation 111NR0400X 15645 Texas

Profile Details

NPI number 1548606601
LBN Legal business name Cannon, Chad Jacob
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Aug 3rd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1548606601 NPPES
Texas Other 15645 CHIROPRACTIC LICENSE
Texas Other 7875588-1202 CHIROPRACTIC LICENSE

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