Cannon, Richard Bigelow

Cannon, Richard Bigelow is an sole proprietor health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Cannon, Richard Bigelow can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 8405867-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD60642199 Washington

Profile Details

NPI number 1679867378
LBN Legal business name Cannon, Richard Bigelow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2011
Last updated Nov 11th, 2021 - about 3 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 1679867378 NPPES
Washington MEDICAID 1679867378

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