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Individual
DR. NICHOLAS CANNON
Active
Individual
DR. NICHOLAS CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001191
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010529023
MEDNET
ME
01
—
100214
ANTHEM
ME
05
—
432127799
—
ME
01
—
7333997
CIGNA
ME
01
—
AA57163
HARVARD PILGRIM
ME
Enumeration date
05/22/2006
Last updated
12/27/2022
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