Gannon, James

Gannon, James is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gannon, James can be contacted via phone (651) 968-5770.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127-7135
Phone: (651) 968-5770
Fax: (651) 968-5775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31277 Minnesota

Profile Details

NPI number 1750359881
LBN Legal business name Gannon, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 1st, 2015 - about 9 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 1750359881 NPPES
Minnesota MEDICAID 829862900
Minnesota Other 200028620

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