Loftin, Michael Cannon

Loftin, Michael Cannon is an sole proprietor health care provider with primary practice located at 750 Old Hickory Blvd Bldg #2, Suite 150, Brentwood TN 37027-4528. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Loftin, Michael Cannon can be contacted via phone (615) 371-6188.

Contact Information

Primary practice address
750 Old Hickory Blvd Bldg #2, Suite 150 Brentwood TN 37027-4528
Phone: (615) 371-6188
Fax: (615) 595-2865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000002412 Tennessee

Profile Details

NPI number 1831130384
LBN Legal business name Loftin, Michael Cannon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831130384 NPPES
Tennessee MEDICAID 3585304
Tennessee Other 4047159
Tennessee Other 4133923

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