Gannon, Theodore William
Gannon, Theodore William is an sole proprietor health care provider with primary practice located at 4725 N Federal Hwy , Fort Lauderdale FL 33308-4603. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Gannon, Theodore William can be contacted via phone (954) 229-7908.Contact Information
Primary practice address
4725 N Federal Hwy
Fort Lauderdale FL 33308-4603
Phone: (954) 229-7908
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1863 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 007468 | Ohio |
Profile Details
| NPI number | 1164634192 |
|---|---|
| LBN Legal business name | Gannon, Theodore William |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jan 17th, 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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