Cannon Chiropractic Sports and Wellness LLC
Organization Active NPI Chiropractor · Perkasie, PA
NPI 1295598951 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1295598951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CANNON CHIROPRACTIC SPORTS AND WELLNESS LLC
- Practice address
- 4 S 7TH St
Perkasie, PA 18944-1306 - Phone
- (717) 385-0722
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Jeremy D. Cannon, DC
- Title
- Owner / Chiropractor
- Phone
- (717) 385-0722
Practitioners 3
-
Caren Lynn Weiner, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240523003057 | PA | Part B Supplier - Clinic/Group Practice | 5698117539 |
Receives reassigned benefits from 1 practitioner Practice locations: Perkasie, PA |
National Provider Directory
Locations
4 S 7th St
Perkasie, PA 18944
Phone (215) 453-8850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
4 S 7TH St
Perkasie, PA 18944-1306
Mailing address
4 S 7TH St
Perkasie, PA 18944-1306
Other providers in Perkasie, PA
- Bux-Mont Allergy & Asthma LLC
- Alicia M Byelich
- Lauren Caffery
- Tara Calderbank
- Walter Campbell
- Jeremy Doyle Cannon
- Care Corps Home Care
- Caremore House Home Care Services, LLC
- Caremore House, LLC
- Kathryn M Cassidy
All providers in Perkasie, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.