Cannon, Debra C

Cannon, Debra C is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cannon, Debra C can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Phone: (937) 268-6511
Fax: (937) 267-5316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50-001982 Ohio

Profile Details

NPI number 1215041876
LBN Legal business name Cannon, Debra C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
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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