Jackie B Cannon is a Orthopedic in Dagsboro, Delaware. Jackie B Cannon practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jackie B Cannon is 1770628067. The last update date is 2019-02-25.
Jackie B Cannon's current location address is 35111 Seagrass Plantation Ln, Dagsboro, Delaware. You can contact this provider via phone number 8664848193 and fax number 8885164393. The mailing address for Jackie B Cannon is 35111 Seagrass Plantation Ln, Dagsboro, Delaware. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jackie B Cannon |
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Address | 35111 Seagrass Plantation Ln, Dagsboro, Delaware |
Phone Number | 8664848193 |
Fax Number | 8885164393 |
Sole Proprietor | N |
Credentials | DPT |
NPI Number Detail
NPI Number | 1770628067 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2019-02-25 |
Provider Mailing Address Detail
Address | 35111 Seagrass Plantation Ln |
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City | Dagsboro |
State | Delaware (DE) |
Post Code | 199393391 |
Phone Number | 8664848193 |
Fax Number | 8885164393 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | 6994 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Jackie B Cannon by the Centers for Medicare & Medicaid Services?
The Jackie B Cannon has been assigned the NPI (National Provider Identifier) 1770628067. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jackie B Cannon located?
The Jackie B Cannon is located at 35111 Seagrass Plantation Ln, Dagsboro, DE 199393391.
What is Jackie B Cannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackie B Cannon is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770628067 to Jackie B Cannon?
The Jackie B Cannon received its 1770628067 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information pertaining to Jackie B Cannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackie B Cannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-25.