Cannon, Nicholas
Cannon, Nicholas is an sole proprietor health care provider with primary practice located at 152 Maple St Ste 302 , Middlebury VT 05753-1168. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cannon, Nicholas can be contacted via phone (802) 458-0488.Contact Information
Primary practice address
152 Maple St Ste 302
Middlebury VT 05753-1168
Phone: (802) 458-0488
Fax: (802) 458-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006-0001191 | Vermont |
Profile Details
| NPI number | 1639123565 |
|---|---|
| LBN Legal business name | Cannon, Nicholas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Dec 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639123565 | NPPES |
| Maine | Other | 010529023 | MEDNET |
| Maine | Other | AA57163 | MEDNET |
| Maine | Other | 010529023 | MEDNET |
| Maine | Other | 100214 | MEDNET |
| Maine | Other | 7333997 | MEDNET |
| Maine | MEDICAID | 432127799 | MEDNET |
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