Cannon, Nancy A
Cannon, Nancy A is an individual health care provider with primary practice located at 11520 N Port Washington Road Suite 108, Mequon WI 53092-3352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Nancy A can be contacted via phone (414) 803-9967.Contact Information
Primary practice address
11520 N Port Washington Road Suite 108
Mequon WI 53092-3352
Phone: (414) 803-9967
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2523057 | Wisconsin |
Profile Details
NPI number | 1891718078 |
---|---|
LBN Legal business name | Cannon, Nancy A |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 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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