Cunningham, Carson C

Cunningham, Carson C is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 384 , Cape Girardeau MO 63703-5095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cunningham, Carson C can be contacted via phone (573) 331-5522.

Contact Information

Primary practice address
3250 Gordonville Rd Ste 384 Cape Girardeau MO 63703-5095
Phone: (573) 331-5522
Fax: (573) 331-5523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 023960 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 2016007347 Missouri

Profile Details

NPI number 1861477218
LBN Legal business name Cunningham, Carson C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861477218 NPPES
Louisiana MEDICAID 1486639

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