Canady, Jerome
Canady, Jerome is an individual health care provider with primary practice located at 106 Irving St Nw Suite 406, Washington DC 20010-2927. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Canady, Jerome can be contacted via phone (202) 877-0532.Contact Information
Primary practice address
106 Irving St Nw Suite 406
Washington DC 20010-2927
Phone: (202) 877-0532
Fax: (412) 877-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 14115 | District of Columbia |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 14115 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 14115 | District of Columbia |
Profile Details
| NPI number | 1467504415 |
|---|---|
| LBN Legal business name | Canady, Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Nov 11th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467504415 | NPPES |
| Pennsylvania | MEDICAID | 101963446002 |
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