Cannon, Courtney Leigh

Cannon, Courtney Leigh is an sole proprietor health care provider with primary practice located at 1407 Se Monroe St , Idabel OK 74745-6619. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cannon, Courtney Leigh can be contacted via phone (580) 612-8045.

Contact Information

Primary practice address
1407 Se Monroe St Idabel OK 74745-6619
Fax: (580) 286-5185
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1174819759
LBN Legal business name Cannon, Courtney Leigh
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 15 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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