John Roy Cannon in Newark - Addiction (substance Use Disorder)
John Roy Cannon - NPI 1487618211
John Roy Cannon is a Addiction (substance Use Disorder) in Newark, Delaware. John Roy Cannon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Roy Cannon is 1487618211. The last update date is 2007-07-08.
John Roy Cannon's current location address is 117 Larkspur Rd, Newark, Delaware. You can contact this provider via phone number 3027389963 and fax number 3029952121. The mailing address for John Roy Cannon is 117 Larkspur Rd, Newark, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Roy Cannon |
|---|---|
| Address | 117 Larkspur Rd, Newark, Delaware |
| Phone Number | 3027389963 |
| Fax Number | 3029952121 |
| Sole Proprietor | X |
| Credentials | LPCMH |
NPI Number Detail
| NPI Number | 1487618211 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 117 Larkspur Rd |
|---|---|
| City | Newark |
| State | Delaware (DE) |
| Post Code | 197116863 |
| Phone Number | 3027389963 |
| Fax Number | 3029952121 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 112 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2248072 | DE | CIGNA BEHAVIORAL HEALTH | |
| 1000036893 | DE | DE MED. ASSIST. PROGRAM | |
| 254526 | DE | COMPSYCH | |
| 364878 | DE | MHN/TRICARE |
Post Comment/ Review Below
What is the John Roy Cannon's unique identification number?
The John Roy Cannon has been assigned the NPI (National Provider Identifier) Number 1487618211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of John Roy Cannon?
The John Roy Cannon is situated at 117 Larkspur Rd, in the city of Newark, state of DE, with the zip code 197116863.
What is John Roy Cannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Roy Cannon is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did John Roy Cannon receive its 1487618211 assignment from the Centers for Medicare & Medicaid Services?
The John Roy Cannon was assigned its 1487618211 on 2006-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Roy Cannon most recently updated or revised?
The details related to John Roy Cannon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA