Cannon, Stephanie
Cannon, Stephanie is an sole proprietor health care provider with primary practice located at 100 E Wood St Ste 202 , Spartanburg SC 29303-3058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cannon, Stephanie can be contacted via phone (864) 560-7070.Contact Information
Primary practice address
100 E Wood St Ste 202
Spartanburg SC 29303-3058
Phone: (864) 560-7070
Fax: (864) 560-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21115 | South Carolina |
Profile Details
| NPI number | 1730600396 |
|---|---|
| LBN Legal business name | Cannon, Stephanie |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730600396 | NPPES |
| South Carolina | Other | SCB4707628 | MEDICARE PIN |
| South Carolina | MEDICAID | NP4876 | MEDICARE PIN |
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