Cannella, John J

Cannella, John J is an individual health care provider with primary practice located at 729 N Custer Ave , Grand Island NE 68803-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cannella, John J can be contacted via phone (308) 382-9266.

Contact Information

Primary practice address
729 N Custer Ave Grand Island NE 68803-4311
Phone: (308) 382-9266
Fax: (308) 382-5290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12464 Nebraska

Profile Details

NPI number 1386642379
LBN Legal business name Cannella, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 13th, 2007 - about 19 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 1386642379 NPPES
Nebraska Other 01707 BCBS INDIVIDUAL #
Nebraska MEDICAID 47059252300 BCBS INDIVIDUAL #

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