National Provider Identifier Database

DANA CANNON, COSMETOLOGIST – NPI #1255724423
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DANA CANNON, COSMETOLOGIST
2805 SOUTH BLVD
CHARLOTTE, NC28209-1801
Phone: 704-527-0200
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for DANA CANNON

NPI Number 1255724423
Credentials COSMETOLOGIST
Entity Individual
Enumeration date 03/12/2015
Last updated 03/12/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • GA License #: C0120769
  • NC License #: C92801
  • SC License #: 32293
Hospital affiliation n/a

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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