Cannon, Charlotte Anne

Cannon, Charlotte Anne is an individual health care provider with primary practice located at 1327 Kalakaket Street , Fairbanks AK 99709. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cannon, Charlotte Anne can be contacted via phone (907) 452-4517.

Contact Information

Primary practice address
1327 Kalakaket Street Fairbanks AK 99709
Phone: (907) 452-4517
Fax: (907) 452-4263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 11 Alaska

Profile Details

NPI number 1851368245
LBN Legal business name Cannon, Charlotte Anne
Credentials CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851368245 NPPES
Alaska Other 11 STATE LICENSE
Alaska Other A013 STATE LICENSE
Alaska MEDICAID SP9487 STATE LICENSE

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