Kanan, Fadi
Kanan, Fadi is an individual health care provider with primary practice located at 11 Market Place , Essex Junction VT 05452. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kanan, Fadi can be contacted via phone (802) 878-5591.Contact Information
Primary practice address
11 Market Place
Essex Junction VT 05452
Phone: (802) 878-5591
Fax: (802) 878-8951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2056 | Vermont |
Profile Details
| NPI number | 1477564359 |
|---|---|
| LBN Legal business name | Kanan, Fadi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477564359 | NPPES |
| Vermont | Other | 58141 | BCBS |
| Vermont | MEDICAID | 1006352 | BCBS |
| Vermont | Other | 1327253 | BCBS |
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