Cannon, Melissa Dawn
Cannon, Melissa Dawn is an individual health care provider with primary practice located at 308 Rosedale Dr , Elizabethtown KY 42701-1530. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cannon, Melissa Dawn can be contacted via phone (270) 750-8574.Contact Information
Primary practice address
308 Rosedale Dr
Elizabethtown KY 42701-1530
Phone: (270) 750-8574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 1212515 | Kentucky |
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1245012871 |
|---|---|
| LBN Legal business name | Cannon, Melissa Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2023 |
| Last updated | Oct 18th, 2023 - about 2 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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