Cannon, Douglas H
Cannon, Douglas H is an individual health care provider with primary practice located at 125 Main St , Oneonta NY 13820-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cannon, Douglas H can be contacted via phone (607) 433-1792.Contact Information
Primary practice address
125 Main St
Oneonta NY 13820-2507
Phone: (607) 433-1792
Fax: (607) 433-6608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 176954 | New York |
Profile Details
| NPI number | 1912965039 |
|---|---|
| LBN Legal business name | Cannon, Douglas H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 18th, 2013 - about 12 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 | 1912965039 | NPPES |
| New York | MEDICAID | 01162578 |
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