Canning, Mark David

Canning, Mark David is an individual health care provider with primary practice located at 55 Fogg Rd , South Weymouth MA 02190-2432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Canning, Mark David can be contacted via phone (781) 340-8000.

Contact Information

Primary practice address
55 Fogg Rd South Weymouth MA 02190-2432
Phone: (781) 340-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 15177 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 15177 Massachusetts

Profile Details

NPI number 1932162104
LBN Legal business name Canning, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 2nd, 2008 - about 18 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 1932162104 NPPES
Massachusetts Other J17824 BLUE SHIELD
Massachusetts Other 273479 BLUE SHIELD
Massachusetts Other 37767 BLUE SHIELD
Massachusetts MEDICAID 3168123 BLUE SHIELD
Massachusetts Other 3168123 BLUE SHIELD
Massachusetts Other 767488 BLUE SHIELD

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