Cannon, Gregory E
Cannon, Gregory E is an sole proprietor health care provider with primary practice located at 8002 Menaul Blvd Ne , Albuquerque NM 87110-4608. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cannon, Gregory E can be contacted via phone (505) 294-7646.Contact Information
Primary practice address
8002 Menaul Blvd Ne
Albuquerque NM 87110-4608
Phone: (505) 294-7646
Fax: (505) 294-7646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1383 | New Mexico |
Profile Details
| NPI number | 1790791911 |
|---|---|
| LBN Legal business name | Cannon, Gregory E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790791911 | NPPES |
| New Mexico | Other | 1383 | LICENCE # |
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