Cannon, John Shrader

Cannon, John Shrader is an individual health care provider with primary practice located at 1661 Aaron Brenner Dr Ste 105 , Memphis TN 38120-1467. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cannon, John Shrader can be contacted via phone (901) 756-8475.

Contact Information

Primary practice address
1661 Aaron Brenner Dr Ste 105 Memphis TN 38120-1467
Phone: (901) 756-8475
Fax: (901) 756-7820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS2752 Tennessee

Profile Details

NPI number 1225143720
LBN Legal business name Cannon, John Shrader
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 2nd, 2009 - about 15 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 1225143720 NPPES
Tennessee Other 000516 ASSURANT #
Tennessee Other 113786 ASSURANT #
Tennessee Other 532822 ASSURANT #
Tennessee Other 606051 ASSURANT #
Tennessee Other 2038634 ASSURANT #
Tennessee Other 4079273 ASSURANT #

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