Cannon, Max Kent

Cannon, Max Kent is an sole proprietor health care provider with primary practice located at 39 Professional Way Suite 2, Payson UT 84651-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cannon, Max Kent can be contacted via phone (801) 465-1701.

Contact Information

Primary practice address
39 Professional Way Suite 2 Payson UT 84651-1675
Fax: (801) 465-1707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 97-347-228-1205 Utah

Profile Details

NPI number 1124036231
LBN Legal business name Cannon, Max Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1124036231 NPPES
Utah Other 101271 IHC-UT/ALL USA

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