Cannon, David Wayne

Cannon, David Wayne is an individual health care provider with primary practice located at 760 Highland Oaks Dr , Winston Salem NC 27103-7105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cannon, David Wayne can be contacted via phone (336) 659-8634.

Contact Information

Primary practice address

760 Highland Oaks Dr Winston Salem NC 27103-7105

Phone: (336) 659-8634

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist	225100000X	2006	North Carolina

Profile Details

NPI number	1699819318
LBN Legal business name	Cannon, David Wayne
Credentials	PT, ATC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 16th, 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1699819318	NPPES
North Carolina	Other	0779J	BCBS NC

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