Cannon, Mary Jo

Cannon, Mary Jo is an sole proprietor health care provider with primary practice located at 8945 N Westland Dr , Gaithersburg MD 20877-1249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Cannon, Mary Jo can be contacted via phone (301) 330-0006.

Contact Information

Primary practice address
8945 N Westland Dr Gaithersburg MD 20877-1249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X D28907 Maryland

Profile Details

NPI number 1619216835
LBN Legal business name Cannon, Mary Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2013
Last updated Dec 11th, 2023 - 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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