Individual provider · Type 1 NPI
Dwight Cannon
Private Vehicle · Cleveland, OH
NPI number
1639884448
Active
Practice location
4397 Ardmore Rd
Cleveland, OH 44121-3620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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About NPI 1639884448
Dwight Cannon's National Provider Identifier is 1639884448, issued on Jan 16, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Cleveland, OH. The record was last updated on Jan 16, 2023.