1871668913 NPI number — MR. JAMES A CANFIELD MD

Table of content: MR. JAMES A CANFIELD MD (NPI 1871668913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871668913 NPI number — MR. JAMES A CANFIELD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CANFIELD
Provider First Name:
JAMES
Provider Middle Name:
A
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871668913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31 OLD NASHUA RD
Provider Second Line Business Mailing Address:
#14
Provider Business Mailing Address City Name:
AMHERST
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-673-7577
Provider Business Mailing Address Fax Number:
603-673-8788

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 OLD NASHUA RD
Provider Second Line Business Practice Location Address:
#14
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-673-7577
Provider Business Practice Location Address Fax Number:
603-673-8788
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  8281 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 101388 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1240810 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2522248 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7779078 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: C46525 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 055156 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".




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