Cannon, Jennifer

Cannon, Jennifer is an sole proprietor health care provider with primary practice located at Bldg 50, Farenholt Avenue , Agana Heights GU 96910. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Cannon, Jennifer can be contacted via phone (671) 344-9340.

Contact Information

Primary practice address
Bldg 50, Farenholt Avenue Agana Heights GU 96910
Phone: (671) 344-9340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 1942863154 Virginia

Profile Details

NPI number 1942863154
LBN Legal business name Cannon, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2019
Last updated Jun 5th, 2024 - about last year

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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