Cannon, Clint Wayne

Cannon, Clint Wayne is an individual health care provider with primary practice located at 1101 E Monroe Ave , Mcalester OK 74501-4815. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cannon, Clint Wayne can be contacted via phone (918) 426-7800.

Contact Information

Primary practice address
1101 E Monroe Ave Mcalester OK 74501-4815
Phone: (918) 426-7800
Fax: (918) 426-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740494327
LBN Legal business name Cannon, Clint Wayne
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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