Canup, Ross Michael

Canup, Ross Michael is an individual health care provider with primary practice located at 42D Medical Group 300 S. Twining St. Bldg 760, Maxwell Afb AL 36112-6027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Canup, Ross Michael can be contacted via phone (334) 953-5200.

Contact Information

Primary practice address
42D Medical Group 300 S. Twining St. Bldg 760 Maxwell Afb AL 36112-6027
Phone: (334) 953-5200
Fax: (334) 953-8607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101263009 Virginia

Profile Details

NPI number 1013367333
LBN Legal business name Canup, Ross Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Apr 27th, 2023 - about 3 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 1013367333 NPPES
Other 0101263009 VIRGINIA MEDICAL LICENSE

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