Cannon, Harold C

Cannon, Harold C is an individual health care provider with primary practice located at 2200 E Parrish Ave Bldg D Suite 100, Owensboro KY 42303-1449. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Cannon, Harold C can be contacted via phone (270) 688-1770.

Contact Information

Primary practice address
2200 E Parrish Ave Bldg D Suite 100 Owensboro KY 42303-1449
Phone: (270) 688-1770
Fax: (270) 688-1780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01036413A Indiana
Other Service Providers / Specialist 174400000X 22288 Kentucky
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 22288 Kentucky

Profile Details

NPI number 1063415826
LBN Legal business name Cannon, Harold C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2013 - about 11 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 1063415826 NPPES
Kentucky Other 0000388450 ANTHEM
Kentucky MEDICAID 64222888 ANTHEM
Kentucky MEDICAID 100015240A ANTHEM

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