Gannon, Michael Kevin

Gannon, Michael Kevin is an individual health care provider with primary practice located at 2979 Squalicum Pkwy Suite #203, Bellingham WA 98225-1811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gannon, Michael Kevin can be contacted via phone (360) 733-7670.

Contact Information

Primary practice address
2979 Squalicum Pkwy Suite #203 Bellingham WA 98225-1811
Phone: (360) 733-7670
Fax: (360) 647-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00021195 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00021195 Washington

Profile Details

NPI number 1790704856
LBN Legal business name Gannon, Michael Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 1st, 2021 - about 4 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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