Cannon, Thomas James

Cannon, Thomas James is an individual health care provider with primary practice located at 84 E Mound St , Jackson OH 45640-1226. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cannon, Thomas James can be contacted via phone (740) 577-3834.

Contact Information

Primary practice address
84 E Mound St Jackson OH 45640-1226
Phone: (740) 577-3834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1992327050
LBN Legal business name Cannon, Thomas James
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 4 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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