Cannon, Jeanna S
Cannon, Jeanna S is an sole proprietor health care provider with primary practice located at 20571 Ellacott Parkway Suite 633, Warrensville Hts OH 44128. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Cannon, Jeanna S can be contacted via phone (216) 816-4464.Contact Information
Primary practice address
20571 Ellacott Parkway Suite 633
Warrensville Hts OH 44128
Phone: (216) 816-4464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1336706795 |
|---|---|
| LBN Legal business name | Cannon, Jeanna S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2019 |
| Last updated | May 21st, 2019 - about 5 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 | 1336706795 | NPPES |
| Ohio | MEDICAID | 05 |
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