Cannon, John Roy

Cannon, John Roy is an individual health care provider with primary practice located at 117 Larkspur Rd , Newark DE 19711-6863. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cannon, John Roy can be contacted via phone (302) 738-9963.

Contact Information

Primary practice address
117 Larkspur Rd Newark DE 19711-6863
Phone: (302) 738-9963
Fax: (302) 995-2121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 112 Delaware
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4331 Delaware
Behavioral Health & Social Service Providers / Professional 101YP2500X PC-0000008 Delaware

Profile Details

NPI number 1487618211
LBN Legal business name Cannon, John Roy
Credentials LPCMH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487618211 NPPES
Delaware Other 2248072 CIGNA BEHAVIORAL HEALTH
Delaware Other 1000036893 CIGNA BEHAVIORAL HEALTH
Delaware Other 254526 CIGNA BEHAVIORAL HEALTH
Delaware Other 364878 CIGNA BEHAVIORAL HEALTH

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