Cannon, Craig Frederick
Cannon, Craig Frederick is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 201 , Las Cruces NM 88011-8260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cannon, Craig Frederick can be contacted via phone (575) 522-2233.Contact Information
Primary practice address
4351 E Lohman Ave Ste 201
Las Cruces NM 88011-8260
Phone: (575) 522-2233
Fax: (575) 522-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 93234 | New Mexico |
Profile Details
| NPI number | 1013025568 |
|---|---|
| LBN Legal business name | Cannon, Craig Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 8th, 2020 - about 5 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 | 1013025568 | NPPES |
| New Mexico | MEDICAID | K0715 |
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