Cannon, Jeremy Wynne

Cannon, Jeremy Wynne is an sole proprietor health care provider with primary practice located at 51 N 39Th Street Suite 120 Mob, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Cannon, Jeremy Wynne can be contacted via phone (215) 662-7323.

Contact Information

Primary practice address
51 N 39Th Street Suite 120 Mob Philadelphia PA 19104
Phone: (215) 662-7323
Fax: (215) 243-4679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD454530 Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD454530 Pennsylvania

Profile Details

NPI number 1952368136
LBN Legal business name Cannon, Jeremy Wynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2006
Last updated Jun 21st, 2022 - about 4 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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