Cannon, Jayson D

Cannon, Jayson D is an individual health care provider with primary practice located at 76 Tabb Dr Suite C, Munford TN 38058-8611. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cannon, Jayson D can be contacted via phone (901) 840-2234.

Contact Information

Primary practice address
76 Tabb Dr Suite C Munford TN 38058-8611
Phone: (901) 840-2234
Fax: (901) 840-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0000001905 Tennessee
Chiropractic Providers / Chiropractor 111N00000X DC00000001905 Tennessee

Profile Details

NPI number 1598763278
LBN Legal business name Cannon, Jayson D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598763278 NPPES
Tennessee Other 4166378 BLUE CROSS BLUE SHIELD OF TENNESSEE

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