Cannon, Shannon

Cannon, Shannon is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Cannon, Shannon can be contacted via phone (608) 263-6420.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ML60370885 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X MD60943485 Washington
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 75781 Wisconsin

Profile Details

NPI number 1558604512
LBN Legal business name Cannon, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2013
Last updated Aug 27th, 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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