Cannon, Derek Sloane

Cannon, Derek Sloane is an sole proprietor health care provider with primary practice located at 1530 Us Highway 43 , Winfield AL 35594-5056. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cannon, Derek Sloane can be contacted via phone (205) 487-7000.

Contact Information

Primary practice address
1530 Us Highway 43 Winfield AL 35594-5056
Phone: (205) 487-7000
Fax: (877) 915-6502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30358 Alabama
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 22691 Mississippi

Profile Details

NPI number 1902095466
LBN Legal business name Cannon, Derek Sloane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Jan 3rd, 2022 - about 3 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 1902095466 NPPES
Mississippi MEDICAID 07877038

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