Cannon, Katie Marria

Cannon, Katie Marria is an individual health care provider with primary practice located at 210 W Saint Georges Ave Fl 2 , Linden NJ 07036-3900. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cannon, Katie Marria can be contacted via phone (908) 486-1111.

Contact Information

Primary practice address
210 W Saint Georges Ave Fl 2 Linden NJ 07036-3900
Phone: (908) 486-1111
Fax: (908) 486-2723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00279100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00279100 New Jersey

Profile Details

NPI number 1215071725
LBN Legal business name Cannon, Katie Marria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Dec 16th, 2020 - 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.

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