Gannon, David L

Gannon, David L is an individual health care provider with primary practice located at 2550 24Th St , Rock Island IL 61201-5304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gannon, David L can be contacted via phone (309) 793-4223.

Contact Information

Primary practice address
2550 24Th St Rock Island IL 61201-5304
Phone: (309) 793-4223
Fax: (309) 793-6276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36-053280 Illinois

Profile Details

NPI number 1003886128
LBN Legal business name Gannon, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 28th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003886128 NPPES
Iowa Other 98731 BLUE SHIELD

Popular Providers