Cannon, Christopher B

Cannon, Christopher B is an individual health care provider with primary practice located at 600 Mary Street , Evansville IN 47747-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cannon, Christopher B can be contacted via phone (812) 450-3405.

Contact Information

Primary practice address
600 Mary Street Evansville IN 47747-0001
Phone: (812) 450-3405
Fax: (812) 450-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01058850A Indiana

Profile Details

NPI number 1730105875
LBN Legal business name Cannon, Christopher B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 9th, 2007 - 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 1730105875 NPPES
Indiana Other 000000329531 BCBS PIN
Indiana Other P00152042 BCBS PIN
Indiana MEDICAID 64078918 BCBS PIN

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