Individual
DR. NICHOLAS CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
152 MAPLE ST STE 302, MIDDLEBURY, VT 05753-1168
(802) 458-0488
(802) 458-0489
Mailing address
152 MAPLE ST STE 302, MIDDLEBURY, VT 05753-1168
(802) 458-0488
(802) 458-0489
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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