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Dr. Nicholas Cannon, DC
Chiropractor in Middlebury, Vermont
NPI 1639123565

Nicholas Cannon is a Chiropractor based in Middlebury, VT. Nicholas Cannon practices in Middlebury, VT and has the professional credentials of DC. The NPI Number for Nicholas Cannon is 1639123565 and holds a License No. 006-0001191 (Vermont).

The current practice location address for Nicholas Cannon is 152 Maple St Ste 302, Middlebury, VT and can be reached out via phone at 802-458-0488 and via fax at 802-458-0489.

Location: 152 Maple St Ste 302, Middlebury, VT, 05753-1168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639123565
Provider Name
Nicholas Cannon
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
152 Maple St Ste 302, Middlebury, VT, 05753-1168
Phone Number
802-458-0488
Fax Number
802-458-0489
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010529023 01 ME MEDNET
AA57163 01 ME HARVARD PILGRIM
010529023 01 ME CBA/EBPA
100214 01 ME ANTHEM
7333997 01 ME CIGNA
432127799 05 ME
institution
Provider Business Practice Location Address Details
Address
152 Maple St Ste 302
City
Middlebury
State
Vermont
Zip
05753-1168
Phone Number
802-458-0488
Fax Number
802-458-0489
person
Provider Business Mailing Address Details
Address
152 Maple St Ste 302
City
Middlebury
State
Vermont
Zip
05753-1168
Phone Number
802-458-0488
Fax Number
802-458-0489
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
006-0001191 (Vermont)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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