Provider Demographics
NPI:1548208432
Name:FRANCISCO CANO MD PC
Entity Type:Organization
Organization Name:FRANCISCO CANO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-588-7531
Mailing Address - Street 1:59 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2449
Mailing Address - Country:US
Mailing Address - Phone:724-588-7531
Mailing Address - Fax:724-588-5914
Practice Address - Street 1:59 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2449
Practice Address - Country:US
Practice Address - Phone:724-588-7531
Practice Address - Fax:724-588-5914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040991E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548208432OtherGROUP NPI
OH2751446Medicaid
1548208432OtherGROUP NPI
OH2751446Medicaid