Cannon, Robert A.

Cannon, Robert A. is an individual health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Cannon, Robert A. can be contacted via phone (916) 734-3750.

Contact Information

Primary practice address
2516 Stockton Blvd Sacramento CA 95817-2208
Phone: (916) 734-3750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X A24752 California

Profile Details

NPI number 1679651376
LBN Legal business name Cannon, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 4th, 2007 - about 19 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 1679651376 NPPES
California MEDICAID 00A247520

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