Cannon, Gabriel

Cannon, Gabriel is an sole proprietor health care provider with primary practice located at 326 N Madison Ave , Blanchard OK 73010-5929. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Cannon, Gabriel can be contacted via phone (405) 413-7456.

Contact Information

Primary practice address
326 N Madison Ave Blanchard OK 73010-5929
Phone: (405) 413-7456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 2126 Oklahoma
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2126 Oklahoma

Profile Details

NPI number 1326595703
LBN Legal business name Cannon, Gabriel
Credentials R.D.N.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2016
Last updated Sep 2nd, 2016 - about 9 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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