Gannon, Anthony

Gannon, Anthony is an individual health care provider with primary practice located at 1300 W Jefferson St Suite C, Franklin IN 46131-9120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gannon, Anthony can be contacted via phone (317) 736-8474.

Contact Information

Primary practice address
1300 W Jefferson St Suite C Franklin IN 46131-9120
Phone: (317) 736-8474
Fax: (317) 736-6040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01023878 Indiana

Profile Details

NPI number 1134206634
LBN Legal business name Gannon, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 21st, 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 1134206634 NPPES
Indiana MEDICAID 100220010

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