Cannefax, Walter Wayne

Cannefax, Walter Wayne is an individual health care provider with primary practice located at 600 El Paseo , Lakeland FL 33805-4521. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Cannefax, Walter Wayne can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
600 El Paseo Lakeland FL 33805-4521
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1467844555
LBN Legal business name Cannefax, Walter Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2015
Last updated Mar 18th, 2020 - 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 1467844555 NPPES
Florida Other 650 CERTIFIED BEHAVIORAL HEALTH TECHNICIAN

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