Cannon, Robert

Cannon, Robert is an sole proprietor health care provider with primary practice located at 4611 E Palo Verde Dr , Phoenix AZ 85018-1258. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Cannon, Robert can be contacted via phone (602) 315-0211.

Contact Information

Primary practice address
4611 E Palo Verde Dr Phoenix AZ 85018-1258
Phone: (602) 315-0211
Fax: (602) 840-1290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1952605552
LBN Legal business name Cannon, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2010
Last updated Jul 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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