Cannon, Anthony Wayne

Cannon, Anthony Wayne is an sole proprietor health care provider with primary practice located at 1724 Roxie Ave , Fayetteville NC 28304-1623. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cannon, Anthony Wayne can be contacted via phone (910) 222-6003.

Contact Information

Primary practice address
1724 Roxie Ave Fayetteville NC 28304-1623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1785 North Carolina

Profile Details

NPI number 1811036205
LBN Legal business name Cannon, Anthony Wayne
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 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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