Canon, Dennis Lane

Canon, Dennis Lane is an individual health care provider with primary practice located at 2001 4Th Avenue , Canyon TX 79015-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Canon, Dennis Lane can be contacted via phone (806) 655-1191.

Contact Information

Primary practice address
2001 4Th Avenue Canyon TX 79015-4051
Phone: (806) 655-1191
Fax: (806) 655-1192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E9481 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 81173 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7973 Arizona

Profile Details

NPI number 1578650586
LBN Legal business name Canon, Dennis Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 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 1578650586 NPPES
Other 000000TP67 BC

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