Dr John David Canine, EDD is a
Psychologist - Clinical based in Clarkston, Michigan. Dr John David Canine is licensed to practice in Michigan (license number 6361001384) and his current practice location is
936 S Baldwin Rd, 102, Clarkston, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 814-0706.
NPI number for Dr John David Canine is 1740434471 and his current mailing address is 936 S Baldwin Rd, 102, Clarkston, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740434471.
Healthcare Provider's Profile
| Full Name | Dr John David Canine |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 936 S Baldwin Rd, Clarkston, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740434471
- Provider Enumeration Date: 11/07/2008
- Last Update Date: 05/13/2020
Medical Identifiers
Medical identifiers for Dr John David Canine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740434471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6361001384 (Michigan) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6361001384 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John David Canine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John David Canine, EDD
936 S Baldwin Rd, 102,
Clarkston, MI 48348-3695
Ph: (248) 814-0706 | Dr John David Canine, EDD
936 S Baldwin Rd, 102,
Clarkston, MI 48348-3695
Ph: (248) 814-0706 |
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