Cannon, Eric Justin

Cannon, Eric Justin is an sole proprietor health care provider with primary practice located at 632 King Ave , Florence SC 29501-4331. He recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Cannon, Eric Justin can be contacted via phone (843) 453-2891.

Contact Information

Primary practice address
632 King Ave Florence SC 29501-4331
Phone: (843) 453-2891
Fax: (843) 662-1995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 343900000X South Carolina
Transportation Services / Private Vehicle 347C00000X 347C00000X South Carolina

Profile Details

NPI number 1518295740
LBN Legal business name Cannon, Eric Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2009
Last updated Nov 30th, 2009 - about 15 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 1518295740 NPPES
South Carolina Other PCS/ORS 8156 ORS- OFFICE OF REGULATORY STAFF

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