Cannon, John David

Cannon, John David is an individual health care provider with primary practice located at 280 17Th St , Oakland CA 94612-4124. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cannon, John David can be contacted via phone (510) 238-5020.

Contact Information

Primary practice address
280 17Th St Oakland CA 94612-4124
Phone: (510) 238-5020
Fax: (510) 238-5020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1649514621
LBN Legal business name Cannon, John David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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 1649514621 NPPES
California Other 1411033663 EMPLOYER IDENTIFICATION NUMBER

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