Canon, John C

Canon, John C is an individual health care provider with primary practice located at 1370 W D St , North Wilkesboro NC 28659-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Canon, John C can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1370 W D St North Wilkesboro NC 28659-3506
Phone: (336) 716-2255
Fax: (336) 716-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27434 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27434 North Carolina

Profile Details

NPI number 1699778639
LBN Legal business name Canon, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 27th, 2010 - about 14 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 1699778639 NPPES
North Carolina MEDICAID 8921057

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