Cannell, Jason Andrew

Cannell, Jason Andrew is an individual health care provider with primary practice located at 1755 48Th St Suite 200, Boulder CO 80301-2711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cannell, Jason Andrew can be contacted via phone (303) 415-7450.

Contact Information

Primary practice address
1755 48Th St Suite 200 Boulder CO 80301-2711
Phone: (303) 415-7450
Fax: (303) 494-5265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DOS-1087 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0050333 Colorado

Profile Details

NPI number 1841279940
LBN Legal business name Cannell, Jason Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 9th, 2017 - about 8 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 1841279940 NPPES
Colorado MEDICAID 34807365

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