Healthcare Provider Details

I. General information

NPI: 1568453975
Provider Name (Legal Business Name): WILLIAM HENRY CANN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4674 BRITTON PKWY STE 1600
HILLIARD OH
43026-9825
US

IV. Provider business mailing address

4674 BRITTON PKWY STE 1600
HILLIARD OH
43026-9825
US

V. Phone/Fax

Practice location:
  • Phone: 614-210-4400
  • Fax:
Mailing address:
  • Phone: 614-210-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD60476421
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60476421
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35.135547
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: