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Contact Information

JOHN L CANHAM, RPA-C
919 WESTFALL RD
BLDG C-100
ROCHESTER, NY14618-2638
 Phone: 585-271-2800
 Fax: 585-271-0375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JOHN L CANHAM · (Male)

NPI Number 1477536043
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 11/28/2005
Last updated 07/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 006959
  • NY License # 6959
  • NY Medicaid 02650553
  • Other P019006959 EXCELLUS
  • Other 162597BT PREFERRED CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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