Provider Demographics
NPI:1306845375
Name:CANAN, PATRICK J (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:CANAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6572
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 670
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:443-481-1150
Practice Address - Fax:410-224-0065
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0056619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD262679OtherKAISER
MD606897000OtherFEDERAL WORKMAN'S COMP
MD7223307OtherAETNA PPO
DC0004OtherBCBS
MD2133450OtherMAMSI
MD61009902OtherBCBS
MD2701143OtherAETNA HMO
MD2096584OtherUNITED HEALTHCARE
MD807301500Medicaid
MD9597962002OtherCIGNA
MD9597962002OtherCIGNA
MDP00221049Medicare PIN
MD61009902OtherBCBS
MD2133450OtherMAMSI