Cannon Spain, Su-San
Cannon Spain, Su-San is an sole proprietor health care provider with primary practice located at 1712 Wurzburg Dr , Fort Worth TX 76134-3320. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Cannon Spain, Su-San can be contacted via phone (817) 476-1510.Contact Information
Primary practice address
1712 Wurzburg Dr
Fort Worth TX 76134-3320
Phone: (817) 476-1510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | Texas |
Profile Details
| NPI number | 1790397255 |
|---|---|
| LBN Legal business name | Cannon Spain, Su-San |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Aug 19th, 2020 - about 5 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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