Cannon, William J
Cannon, William J is an individual health care provider with primary practice located at 500 Mcmillen St , Fort Atkinson WI 53538-1233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cannon, William J can be contacted via phone (920) 563-5571.Contact Information
Primary practice address
500 Mcmillen St
Fort Atkinson WI 53538-1233
Phone: (920) 563-5571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36081211 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 65437 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 65437-20 | Wisconsin |
Profile Details
| NPI number | 1912971243 |
|---|---|
| LBN Legal business name | Cannon, William J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 7th, 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 | 1912971243 | NPPES |
| Illinois | MEDICAID | 36081211 |
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