Cannon Noles, Jennifer L
Cannon Noles, Jennifer L is an sole proprietor health care provider with primary practice located at 2545 N Eldorado Ave , Klamath Falls OR 97601-6423. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cannon Noles, Jennifer L can be contacted via phone (541) 883-3471.Contact Information
Primary practice address
2545 N Eldorado Ave
Klamath Falls OR 97601-6423
Phone: (541) 883-3471
Fax: (541) 883-3524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1144511239 |
|---|---|
| LBN Legal business name | Cannon Noles, Jennifer L |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2011 |
| Last updated | Jan 28th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144511239 | NPPES |
| Oregon | MEDICAID | 1114058898 |
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