Cannon, Jacob
Cannon, Jacob is an individual health care provider with primary practice located at 406 Marvel Ct , Easton MD 21601-4052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cannon, Jacob can be contacted via phone (410) 822-4613.Contact Information
Primary practice address
406 Marvel Ct
Easton MD 21601-4052
Phone: (410) 822-4613
Fax: (410) 822-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 28475 | Maryland |
Profile Details
| NPI number | 1356910624 |
|---|---|
| LBN Legal business name | Cannon, Jacob |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jun 22nd, 2021 - 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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