Michael Cannon is a Specialist in Chesapeake, Virginia. Michael Cannon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael Cannon is 1215925599. The last update date is 2017-11-10.
Michael Cannon's current location address is 700 Battlefield Blvd N, Chesapeake, Virginia. You can contact this provider via phone number 7574917359. The mailing address for Michael Cannon is 700 Battlefield Blvd N, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Cannon |
|---|---|
| Address | 700 Battlefield Blvd N, Chesapeake, Virginia |
| Phone Number | 7574917359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215925599 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2017-11-10 |
Provider Mailing Address Detail
| Address | 700 Battlefield Blvd N |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233204952 |
| Phone Number | 7574917359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101229742 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59000245 | NC | NC MEDICAID | |
| 175136 | VA | ANTHEM BCBS | |
| 175136 | VA | ANTHEM HEALTHKEEPERS | |
| 93867 | VA | OPTIMA/SENTARA | |
| 10137594 | VA | VIRGINIA PREMIER | |
| 10137594 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Cannon by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Cannon has been assigned the NPI (National Provider Identifier) 1215925599. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael Cannon located?
The Michael Cannon is located at 700 Battlefield Blvd N, Chesapeake, VA 233204952.
What is the Michael Cannon's specialty and taxonomy code?
The Michael Cannon's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Michael Cannon's 1215925599 issued?
The Michael Cannon's 1215925599 was issued on 2005-10-11.
When was the Michael Cannon's information last updated?
The Michael Cannon's information was last updated on 2017-11-10.
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