MR. BRYANT CANNON NPI 1801081393

NPI Information

NPI: 1801081393
Provider Name: MR. BRYANT CANNON
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
544 E OGDEN AVE
700-265
MILWAUKEE, WI
ZIP 53202
Phone: (414) 745-1737
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MR. Bryant Cannon is a specialist technologist other in Milwaukee, WI. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. MR. Bryant Cannon NPI is 1801081393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

544 E OGDEN AVE
700-265
MILWAUKEE, WI
ZIP 53202-698
Phone: (414) 745-1737

The enumeration date for this NPI number is 9/8/2007 and was last updated on 9/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		VN188908	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4147451737	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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