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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134206634 | NPPES |
Indiana | MEDICAID | 100220010 |
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