Cannon, Louis A

Cannon, Louis A is an individual health care provider with primary practice located at 560 W Mitchell St Suite 400, Petoskey MI 49770-2275. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Cannon, Louis A can be contacted via phone (231) 487-2490.

Contact Information

Primary practice address
560 W Mitchell St Suite 400 Petoskey MI 49770-2275
Phone: (231) 487-2490
Fax: (231) 487-6055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301058141 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301058141 Michigan

Profile Details

NPI number 1316960487
LBN Legal business name Cannon, Louis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 6th, 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 1316960487 NPPES
Michigan Other 0607313061 BLUE SHIELD INDIVIDUAL PI
Michigan MEDICAID 4636434 BLUE SHIELD INDIVIDUAL PI
Michigan Other P64823 BLUE SHIELD INDIVIDUAL PI

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