Cannon, Emily Elizabeth

Cannon, Emily Elizabeth is an individual health care provider with primary practice located at 4300 W Main St Ste 24, Dothan AL 36305-1054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cannon, Emily Elizabeth can be contacted via phone (334) 793-1534.

Contact Information

Primary practice address
4300 W Main St Ste 24 Dothan AL 36305-1054
Phone: (334) 793-1534
Fax: (334) 793-6840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD29882 Alabama

Profile Details

NPI number 1053572313
LBN Legal business name Cannon, Emily Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Dec 23rd, 2014 - about 12 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 1053572313 NPPES
Alabama Other 102I024801 MEDICARE
Alabama MEDICAID 150133 MEDICARE
Alabama Other 51136878 MEDICARE

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