Mccanless, James W

Mccanless, James W is an sole proprietor health care provider with primary practice located at 650 Dittmer Ave , Pueblo CO 81005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mccanless, James W can be contacted via phone (719) 565-2000.

Contact Information

Primary practice address
650 Dittmer Ave Pueblo CO 81005
Phone: (719) 565-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 27112 Colorado

Profile Details

NPI number 1528063187
LBN Legal business name Mccanless, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated May 14th, 2019 - about 5 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 1528063187 NPPES
Colorado MEDICAID 01271121

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