John T. Cannon in Omaha - Addiction (substance Use Disorder)
John T. Cannon - NPI 1700903143
John T. Cannon is a Addiction (substance Use Disorder) in Omaha, Nebraska. John T. Cannon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John T. Cannon is 1700903143. The last update date is 2007-07-08.
John T. Cannon's current location address is 11605 Arbor St, Omaha, Nebraska. You can contact this provider via phone number 4023304700 and fax number 4023308815. The mailing address for John T. Cannon is 11605 Arbor St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T. Cannon |
|---|---|
| Address | 11605 Arbor St, Omaha, Nebraska |
| Phone Number | 4023304700 |
| Fax Number | 4023308815 |
| Sole Proprietor | Y |
| Credentials | PHD LMHP L |
NPI Number Detail
| NPI Number | 1700903143 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11605 Arbor St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681442982 |
| Phone Number | 4023304700 |
| Fax Number | 4023308815 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 372 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the John T. Cannon's 1700903143?
The John T. Cannon's NPI (National Provider Identifier) Number is 1700903143. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John T. Cannon's physical address?
The John T. Cannon is physically located at 11605 Arbor St, in the city of Omaha, NE, with the postal code 681442982.
What is the John T. Cannon's specialty and taxonomy code?
The John T. Cannon's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did the John T. Cannon receive its 1700903143?
The John T. Cannon was issued its 1700903143 on 2007-03-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding John T. Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John T. Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.